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ONTARIO REGULATIONS 



1 - 177 



1989 



O. Reg. 1/89 



THE ONTARIO GAZETTE 



235 



Publications Under The Regulations Act 



Januar\ 21st. 1989 



FUKL TAX ACT. 1981 

O. Reg. 1/89. 

General. 

Made— December 20th. 1988. 

Filed— Januan.- 5th. 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 772/82 

MADE UNDER THE 

FUEL TAX ACT, 1981 

1.— (1) Subsections 1 (2) and (3) of 
Ontario Regulation 772/82, as remade 
by section 1 of Ontario Regulation 
251/87, are revoked and the following 
substituted therefor: 

(2) The amount or quantity of dye prescribed for the 
purposes of clauses 1 (b) and (d) of the Act is 3.42 parts 
of dye per million parts of fuel. 

(3) The proportion prescribed for the purpose of 
clause 1 (e) of the Act is not less than 1 70 and not more 
than 190 parts of dye per million parts of fuel. 
O. Reg. 1/89, s. 1 (1). 

(2) Subsection 1 (4) of the said Regulation, 
as remade by section 1 of Ontario 
Regulation 140/83, is revoked and the 
following substituted therefor: 

(4) The following substances are prescribed for the 
purpose of blending with fuel to make coloured fuel: 



1 . A colouring agent acceptable to the Minister 
in a proportion that is not less than 2.8269 
per cent and not more than 2.9423 per cent of 
the dye. 

2. Furfural in a proportion that is not less than 
2.8269 p)er cent and not more than 2.9423 per 
cent of the dye. 

3. Xylene based aromatic solvent in a propor- 
tion that is not less than 1.8846 per cent and 
not more than 1.9616 per cent of the dye. 

4. Fuel of a composition that the Minister con- 
siders satisfactor>- for blending with the com- 
ponents referred to in paragraphs 1, 2 and 3 
in a proportion that is not less than 90.4615 
per cent and not more than 94. 1539 per cent 
of the dye. O. Reg. 1/89. s. 1 (2). 

2. Subsection 6 (3) of the said Regulation, 
as remade by section 3 of Ontario Reg- 
ulation 251/87, is revoked and the fol- 
lowing substituted therefor: 

(3) If a collector has in his or her possession or con- 
trol any coloured fuel in which the proportion of dye to 
fuel is less than 170 parts per million, any person 
authorized to take samples of fuel under clause 
18 (1) (e) of the Act may require the collector to colour 
that fuel either through the use of equipment described 
in subsection 5 (1) or manually as the person requiring 
the colouring directs and the collector shall colour the 
fuel in compliance with that direction under the super- 
vision of the person making that direction. O. Reg. 
1/89, s. 2. 



Table 2 of the said Regulation, as remade by section 5 of Ontario Regulation 251/87, is 
revoked and the following substituted therefor: 



236 



THE ONTARIO GAZETTE 

TABLE 2 
BLF.XDIXC. CHART OF DYE 



O. Reg. 1/89 





y LAN HT Y OF 




QUANTITY OF 


LITRES TO 


DYE TO BE 


LITRES TO 


DYE TO BE 


BE COT^OURED 


USED (c.c.) 


BE COLOURED 


USED (litre-) 


100 


18 


100,000 


18 


200 


36 


200,000 


36 


300 


54 


300,000 


54 


400 


72 


400,000 


72 


500 


90 


500,000 


90 


600 


108 


600,000 


108 


700 


126 


700,000 


126 


800 


144 


800,000 


144 


900 


162 


900,000 


162 


1,000 


180 


1,000,000 


180 


2,000 


360 


2,000,000 


360 


3,000 


540 


3,000,000 


540 


4,000 


720 


4,000,000 


720 


5,000 


900 


5,000,000 


900 


6,000 


1,080 


6,000,000 


1,080 


7,000 


1,260 


7,000,000 


1,260 


8,000 


1,440 


8,000,000 


1,440 


9,000 


1,620 


9,000,000 


1,620 


10,000 


1,800 


10,000,000 


1,800 


20,000 


3,600 


20,000,000 


3,600 


30,000 


5,400 


30,000,000 


5,400 


40,000 


7,200 


40,000,000 


7,200 


50,000 


9,000 


50,000,000 


9,000 


60,000 


10,800 


60,000,000 


10,800 


70,000 


12,600 


70,000,000 


12,600 


80,000 


14,400 


80,000,000 


14,400 


90.000 


16.200 


90.000.000 


16.200 



O. Reg. 1/89, s. 3. 

4. This Regulation shall be deemed to have come into force on the 1st day of January, 
1989. 

Bernard Gra.ndmaître 
Minister of Revenue 



Dated at Toronto, this 20th day of December, 1988. 



3/89 



THE ONTARIO GAZETTE 237 



INDEX 3 

GOVERNMENT NOTICES 

Motor Vehide Transport Act, 1987 141 

Certificates of Incorporation 157 

Certificates of Incorporation Issued 175 

Letters Patent of Incorporation Issued 176 

Certificates of Amalgamation 177 

Certificates of Continuance 178 

Transfer of Ontario Corporations 178 

Restated Certificate of Incorporation 179 

Amendments to Articles 179 

Articles of Revival 184 

Supplementarv- Letters Patent Issued 184 

Extra-Provincial Licence Endorsed 184 

Certificates of E>issolution 184 

Decisions on Applications for Audit Exemption 186 

Notice of Default in Complying with the Corporations Tax Act 186 

Cancellation of Certificates of IiKx>rporation (Corporations Tax Act Defaulters) 190 

Erratum 192 

Change of Name Act 192 

Environmental Assessment Act 194 

Election FinaiKes Act, 1986 195 

Applications to Provincial Parliament — Private Bills 226 

Petitions to Provincial Parliament 226 

Applications to the Parliament of Canada 227 

Applications to Proviixnal Parliament 227 

CORPORATION NOTICES 227 

NOTICE TO CREDITORS 232 

MISCELLANEOUS NOTICE 232 

SALE OF LAND BY PUBUC TENDER 232 

PUBUCATIONS UNDER THE REGULATIONS ACT 

Fuel Tax Act, 1981 O. Reg. 1/89 235 



238 THE ONTARIO GAZETTE 



M 




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RBGUIAnaT 269/80, Education Act, Oct. 88 2.00 

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♦PENSION BENEFITS ACT and RBGUIATIC»^ 708/87, Sept. 88 8.00 

POLICE ACT and RBGUIATIC^IS, Aug. 88 2.50 
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MINISTRY OF NATURAL RESOURCES, Annual R^»rt 1987/88 3.40 

PROVINCIAL AUDITOR, Annual R^X)rt 1988 4.00 
ONTARIO EHERGY BOARD, Reasons for Decision - Consumers 

Gas - EBRO 452 14.00 
Advisory Canmittee on SUBSmUTE DECISIOI MAKING for 

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OrCARIO LABOUR RELATiaiS BOARD: R^»rts - Sept. 88 6.25 

HIGHWAY TRAFFIC ACT, Bilingual edition, Sept. 88 10.00 

*LAND TITLES ACT and REGUIATIC^IS, Oct. 88 9.50 
ONTARIO ASSESSMENT INSTRUMENT POOL: French as a 

second language 15.00 

ENJOYING RESEARCH? 10.00 

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1/89 
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O. Reg. 2/89 



THE ONTARIO GAZETTE 



327 



Publications Under The Regulations Act 



Januai^ 28th. 1989 



I 



MINISTRY OF CORRKCTIOXAL 
SHRMCKS ACT 

O. Reg. 2/89. 

General. 

Made — August 16th, 1988. 

Filed— Januan- 9th. 1989. 



REGULATION TO AMEND 

REGULATION 649 OF 

REVISED REGULATIONS 

OF ONTARIO. 1980 

MADE UNDER THE 

MINISTRY OF CORRECTIONAL 

SERVICES ACT 

1. — (1) The heading preceding section 20 
of Regulation 649 of Revised Regula- 
tions of Ontario, 1980 is revoked and 
the following substituted therefor: 

INM.ATE EMPLOVME.N'T 

(2) Clause 20 (2) (b) and subsections 
(3), (4) and (5) of the said Regulation 
are revoked. 

2. The said Regulation is amended by 
adding thereto the following sections: 

CANTEEN .\LLO\V.\NCE 

20a. — (1) This section does not apply with respect 



to, 



(a) a >oung person detained in a place of open 
custody or open temporar>- detention; 

(b) an inmate or a young person ser\-ing an 
intermittent sentence; 

(c) an inmate serving a sentence at a community 
resource centre; 

(d) an inmate on temporary absence for 
employment purposes or a young person on 
temporan,- release for employment purposes; 
or 

(e) an inmate detained at a designated lock-up 
on the request of a municipality. 



(2) The Superintendent may give an inmate or a 
young person admitted into custod> such credits to 
purchîise items from the institutional canteen as are 
described in this section and the credits shall be 
accumulated in the inmate's or young person's canteen 
allowance account. 

(3) The amount of the credit that may be given to an 
inmate or a young person upon admission into custody 
is S5. 

(4) After. 

(a) an inmate who has received a sentence of 
twenty-one or more days; or 

(b) a young person who has received a dis- 
position of twenty-one or more days, 

has been in custody for one continuous week beginning 
on a Monday and ending on a Sunday, the inmate or 
young person may be given a credit of S8 in each sub- 
sequent week during which the inmate or young per- 
son remains in custody. 

(5) The Superintendent shall pay to an inmate or a 
young person upon his or her release or discharge from 
an institution an amount equal to the credits remaining 
in the inmate's or young person's canteen allowance 
account. O. Reg. 2/89. s. 2, part. 

20b. — (1) Subject to subsection (2). an inmate or a 
young person may purchase items from the institu- 
tional canteen using, 

(a) the credits accumulated in the inmate's or 
young person's canteen allowance account; or 

(b) money held in trust for the inmate or young 
person by the Superintendent. 

(2) No inmate or young person shall purchase more 
than .S30 worth of items from the institutional canteen 
in one week without the Superintendent's permis- 
sion. O. Reg. 2/89, s. 2. part. 

3. The said Regulation is further 
amended by adding thereto the fol- 
lowing section: 

26a. — ( 1) The Superintendent may seize con- 
traband found during a search described in section 22. 

(2) Subject to subsection (3), contraband seized 
under subsection (1) is forfeit to the Crown. 



328 O. Reg. 2/89 



THE ONTARIO GAZETTE 



O. Reg. 3/89 



(3) If the Superintendent determines that the for- 
feiture of contraband belonging to an inmate would 
cause undue hardship to the inmate, the Superinten- 
dent shall hold the contraband in trust for the inmate 
until the inmate's release or discharge from the institu- 
tion. 

(4) The Superintendent shall dispose of contraband 
that is forfeit to the Crown under subsection (2), 

(a) if the contraband is money, by depositing it 
in the Consolidated Revenue Fund; 

(b) if the contraband has significant resale value, 
by forwarding it to the Minister who may 
dispose of it in a manner that the Minister 
considers appropriate; 

(c) if the contraband is useful property that does 
not have significant resale value, by donating 
it to a person or an organization that under- 
takes to use it for a charitable purpose; and 

(d) if the contraband is not described in clause 
(a), (b) or (c), by destroying it. O. Reg. 2/89, 
s. 3. 

4. — (1) Paragraph 1 of subsection 31 (1) 
of the said Regulation is amended by 
adding at the end thereof "including 
. the privileges of receiving credits to 
purchase, and of purchasing, items 
from the institutional canteen". 



(2) Paragraph 3 of the 
31 (1) is revoked. 



said subsection 



(3) Subsection 31 (2) of the said Regula- 
tion is amended by adding thereto the 
following paragraph: 

6. Forfeiture of a portion or all of the credits 
remaining in the inmate's canteen allowance 
account, up to a maximum amount of $100, 
as compensation payable for damage to or 
destruction of property. 

5. The said Regulation is further 
amended by adding thereto the fol- 
lowing section: 



ASSISTANCE UPON RELEASE OR DISCHARGE 

39a. The Minister may give a gratuity or such other 
assistance to an inmate or a young person upon his or 
her release or discharge from an institution as the 
Minister considers will aid the rehabilitation of the 
inmate or young person. O. Reg. 2/89, s. 5. 

4/89 



PLANNING ACT, 1983 

O. Reg. 3/89. 

Restricted Areas — District of 
Manitoulin, Geographic townships of 
Campbell, Dawson, Mills and 
Robinson. 

Made— December 22nd, 1988. 

Filed— January 10th, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 672/81 

MADE UNDER THE 

PLANNING ACT, 1983 

1. Ontario Regulation 672/81 is amended 
by adding thereto the following sec- 
tions: 



107.— <1) Notwithstanding subsection 47 (1), one 
dwelling unit together with buildings and structures 
accessory thereto may be erected and used on the land 
described in subsection (2). 

(2) Subsection (1) applies to that parcel of land in 
the Township of Campbell in the Territorial District of 
Manitoulin, being that part of Lot 26 in Concession II, 
described as Part 1 on a Plan deposited in the Land 
Registry Office for the Registry Division of Manitoulin 
(No. 31) as Number 31R-1848. O. Reg. 3/89, s. 1. 
part . 

108. — (1) Notwithstanding subsection 50 (1) and 
section 51, one seasonal dwelling together with build- 
ings and structures accessory thereto may be erected 
and used on the land described in subsection (2) if the 
following requirements are met: 

Maximum lot area 20 hectares 

Maximum lot coverage 15 per cent 

Minimum front, side 

and rear yards 15 metres 

Minimum ground floor 
area for single-family 
dwelling 55 square metres 

(2) Subsection (1) applies to that parcel of land in 
the Township of Robinson in the Territorial District of 
Manitoulin being the whole of Lot 26 in Concession 
XI, except for that portion of the Lot described as 
parts 1, 2, 3 and 4 on a Plan deposited in the Land 
Registr\- Office for the Registry Division of Manitoulin 
(No. 31) as Number 31R-172. O. Reg. 3/89, s. 1, 
part. 



O. Reg. 3/89 



THE ONTARIO GAZETTE 



O. Reg. 5/89 329 



Pauline Morris 

Director 

Plans Administration Branch 

\orth and East 

Ministry of Municipal Affairs 

Dated at Toronto, this 22nd da\ of December, 1988. 

4/89 

PLAN.NING ACT. 1983 

O. Reg. 4/89. 

Restricted Areas — District of 
Manitoulin. Geographic townships of 
Campbell. Dawson, Mills and 
Robinson. 

Made— December 23rd. 1988. 

Filed— Januar> 10th. 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 672/81 

MADE UNDER THE 

PLANNING ACT, 1983 

1. Ontario Regulation 672/81 is amended 
b>- adding thereto the following section: 

110. — (1) Notwithstanding that the land described 
in subsection (2) is shown on the maps referred to in 
section 4 as being in a Rural Zone, it shall be deemed 
to be in a Shoreline Residential Zone to which Part II 
applies. 

(2) Subsection (1) applies to those parcels of land in 
the Township of Campbell in the Territorial District of 
Manitoulin. being lots 1 to 17 on Plan M-195 and lots 1 
to 19 on Plan M-106 all as registered in the Land 
Registr> Office for the Land Titles Division of Man- 
itoulin (No. 31). 

(3) Notwithstanding section 24, the minimum lot 
frontage for the land described in subsection (4) is 
25 metres. 

(4) Subsection (3) applies to those parcels of land in 
the Township of Campbell in the Territorial District of 
Manitoulin, being lots 4 and 5 on Plan M-195 regis- 
tered in the Land Registr> Office for the Land Titles 
Division of Manitoulin (No. 31). O. Reg. 4/89, s. 1. 

Pauline Morris 

Director 

Plans Ad/ninistration Branch 

Sorth and East 

Ministry of Municipal Affairs 

Dated at Toronto, this 23rd day of December, 1988. 

4/89 



PARKWAY BKLT PLANNING AND 
DHVKLOPMENT ACT 

O. Reg. 5/89. 

County of Wentworth (now The Regional 
Municipalit\ of Hamilton-Wentworth). 
Township of East Flamborough (now 
the Township of Flamborough). 

Made — Januar>- 6th, 1989. 

Filed— Januarx 11th, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 483/73 

MADE UNDER THE 

PARKWAY BELT PLANNING AND 

DEVELOPMENT ACT 

1. Ontario Regulation 483/73 is amended 
by adding thereto the following section: 

20. — (1) Notwithstanding section 5, a single-family 
dwelling together with buildings and structures acces- 
sor>' thereto may be constructed and used on the land 
described in subsection (2) if the barn and coach house 
existing on the land on the 1st day of December, 1988 
are demolished and if the following requirements are 
met: 

Minimum distance 
between any building or 
structure and the east- 



erlv lot line 



12.2 metres 



Ma.ximum distance 
between any building or 
structure and the east- 
erly lot line 50 



metres 



Minimum distance 
between any building or 
structure and the north- 
erly lot line 18 metres 

Maximum distance 
between any building or 
structure and the north- 
erly lot line 37 metres 



Maximum height of 
single-family dwelling 

Maximum number of 
storeys for single-famil>- 
dwelling 



35 feet 



two and one-half storevs 



(2) Subsection (1) applies to that parcel of land in 
the Town of Flamborough in The Regional Munici- 
pality of Hamilton-Wentworth (formerly in the 
Township of East Flamborough in the County of 
Wentworth) being that part of Lot 8 in Concession III 
and that part of the road allowance between conces- 
sions II and III described as Part 1 on a Plan deposited 



330 O. Reg. 5/89 



THE ONTARIO GAZETTE 



O. Reg. 6/89 



in the Land Registn' Office for the Registry Division of 
Wentworth (No. 62) as Number 62R-9964. O. Reg. 
5/89, s. 1. 

L. J. FiNCHAM 

Director 

Plans Administration Branch 

Central and Southwest 

Ministry of Municipal Affairs 

Dated at Toronto, tiiis 6th day of January, 1989. 



4/89 



KDUCATION ACT 

O. Reg. 6/89. 

Operation of Schools — General. 
Made— December 5th, 1988. 
Approved — December 15th, 198 
Filed— January 12th, 1989. 



REGULATION TO AMEND 

REGULATION 262 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

EDUCATION ACT 

1. Section 4 of Regulation 262 of Revised 
Regulations of Ontario, 1980 is 
revoked and the following substituted 
therefor: 

OPENING OR CLOSING EXERCISES 

4. — (1) Every public elementary and secondary 
school shall hold opening or closing exercises. 

(2) Opening or closing exercises shall include 
Canada and may include God Save the Queen. 

(3) Opening or closing exercises may include the 
following types of readings that impart social, moral or 
spiritual values and that are representative of 
Ontario's multicultural society: 

1. Scriptural writings including prayers. 

2. Secular writings. 

(4) Opening or closing exercises may include a 
period of silence. 

(5) No pupil enrolled in a public elementary or 
secondary school shall be required to take part in any 
opening or closing exercises where a parent or guar- 
dian of the pupil or the pupil, where the pupil is an 
adult, applies to the principal of the school that the 
pupil attends for exemption therefrom. O. Reg. 6/89, 
s. 1. 



2. — (1) The heading to section 28 of the 
said Regulation is revoked and the 
following substituted therefor: 



RELIGIOUS EDUCATION IN PUBLIC SCHOOLS 

(2) Subsection 28 (1), subsection 28 (2), as 
remade by section 21 of Ontario Reg- 
ulation 617/81, and subsection 28 (3) of 
the said Regulation are revoked. 

(3) Subsection 28 (4) of the said Regula- 
tion is amended by striking out "in 
addition to the time assigned to 
religious exercises at the opening or 
closing of a public school" in the first, 
second and third lines and inserting in 
lieu thereof "in each public school". 

(4) Subsection 28 (10) of the said Regula- 
tion, as remade by section 21 of 
Ontario Regulation 617/81, is amended 
by striking out "any religious exer- 
cises" in the first and second lines and 
by striking out "of the pupil" in the 
sixth line. 

(5) Subsection 28 (11) of the said Regula- 
tion is amended by striking out 
"religious exercises are being held or" 
in the fifth and sixth lines and inserting 
after "education" in the sixth line "is 
being". 

(6) Subsection 28 (12) of the said Regula- 
tion, as remade by section 21 of 
Ontario Regulation 617/81, is amended 
by striking out "religious exercises or" 
in the fifth and sixth lines. 

(7) Subsection 28 (13) of the said Regula- 
tion, as remade by section 21 of 
Ontario Regulation 617/81, is amended 
by striking out "religious exercises or" 
where it occurs in the first, second and 
fourth lines. 

3. — (1) The heading to section 29 of the 
said Regulation is revoked and the 
following substituted therefor: 



RELIGIOUS EDUCATION IN SECONDARY SCHOOLS 

(2) Subsection 29 (1), subsection 29 (2), as 
remade by section 22 of Ontario Reg- 
ulation 617/81, and subsection 29 (3) of 
the said Regulation are revoked. 



O. Reg. 6/89 



THE ONTARIO GAZETTE 



O. Reg. 8/89 331 



(3) Subsection 29 (8) of the said Regula- 
tion is amended by striking out "taking 
part in religious exercises or" in the 
third line and by striking out "exercises 
or" in the fifth line. 

(4) Subsection 29 (9) of the said Regula- 
tion is revoked. 

Chris Ward 
Minister of Education 

Dated at Toronto, this 5th day of December. 1988. 

4/89 



LABOUR RhXATIONS ACT 

O. Reg. 7/89. 

General. 

Made— Januar> 12th. 1989. 

Filed— Januar> 13th. 1989. 



REGULATION TO AMEND 

REGULATION 544 OF 

REVISED REGULATIONS 

OF ONTARIO. 1980 

MADE UNDER THE 

LABOUR RELATIONS ACT 

1. Section 2 of Regulation 544 of Revised 
Regulations of Ontario, 1980. as 
remade by section 1 of Ontario Regu- 
lation 337/87. is revoked and the fol- 
lowing substituted therefor: 

2. — ( 1 ) The rate of remuneration of a chairman of a 
concihation board shall not exceed. 

(a) S450 a day if the time spent in a hearing or in 
executive session exceeds three hours; 

(b) S225 if the time spent in a hearing or in 
executive session is three hours or less; and 

(c) S56.25 an hour for the preparation of a deci- 
sion or an award, up to a maximum of S450 a 
day. 

(2) The rate of remuneration of a member of a con- 
ciliation board, other than a chairman, shall not 
exceed. 

(a) S250 a day if the time sjjent in a hearing or in 
executive session exceeds three hours; 

(b) S 125 if the time spent in a hearing or in 
executive session is three hours or less; and 



(c) S3 1.2 5 an hour for the preparation of a deci- 
sion or an award, up to a maximum of $250 a 
day. 

(3) The rate of remuneration of a mediator shall not 
exceed, 

(a) S400 a day if the time spent in mediation 
exceeds three hours; 

(b) $200 a day if the time spent in mediation is 
three hours or less; and 

(c) S50 an hour for the preparation of a report, 
up to a maximum of S400 a day. O. Reg. 
7/89. s. 1. 

4/89 



HOSPITAL LABOUR DISPUTKS 
ARBITRATIO.N ACT 

O. Reg. 8/89. 

Remuneration of Chairmen and Members 

of Arbitration Boards. 
Made — ^Januar> 12th. 1989. 
Filed— Januan. 13th. 1989. 



REGULATION TO AMEND 
ONTARIO REGULATION 338/87 

MADE UNDER THE 

HOSPITAL LABOUR DISPUTES 

ARBITRATION ACT 

1. Section 1 of Ontario Regulation 338/87 
is revoked and the following substi- 
tuted therefor: 

1. — ( 1) Subject to subsection (2), the rate of remun- 
eration of a chairman of a board of arbitration shall be, 

(a) $450 a day if the time spent in a hearing or in 
executive session exceeds three hours; 

(b) $225 if the time spent in a hearing or in 
executive session is three hours or less; and 

(c) $56.25 an hour for the preparation of a deci- 
sion or an award, up to a ma.ximum of $450 a 
day. 

(2) If. in the opinion of the Deput>- Minister of 
Labour, a case involves more than one employer or 
more than one union, the rate of remuneration of a 
chairman of a board of arbitration shall be. 

(a) $550 a day if the time spent in a hearing or in 
executive session exceeds three hours; 

(b) $275 if the time spent in a hearing or in 
executive session is three hours or less; and 



332 O. Reg. 8/89 



THE ONTARIO GAZETTE 



O. Reg. 9/89 



(c) $68.75 an hour for the preparation of a deci- 
sion or an award, up to a maximum of $550 a 
day. O. Reg. 8/89, s. 1. 

2. Section 2 of the said Regulation is 
revoked and the following substituted 
therefor: 

2. — (1) Subject to subsection (2), the rate of remun- 
eration of a member of a board of arbitration, other 
than a chairman, shall be, 

(a) $250 a day if the time spent in a hearing or in 
executive session exceeds three hours; 

(b) $125 if the time spent in a hearing or in 
executive session is three hours or less; and 

(c) $31.25 an hour for the preparation of a deci- 
sion or an award, up to a maximum of $250 a 
day. 

(2) If, in the opinion of the Deputy Minister of 
Labour, the case is a complex case, the rate of remun- 
eration of a member of a board of arbitration, other 
than a chairman, shall be, 

(a) $275 a day if the time spent in a hearing or in 
executive session exceeds three hours; 

(b) $137.50 if the time spent in a hearing or in 
executive session is three hours or less; and 



4/89 



(c) $34.35 an hour for the preparation of a deci- 
sion or an award, up to a maximum of $275 a 
day. O. Reg. 8/89, s. 2. 



PKSTICIDHS ACT 



O. Reg. 9/89. 

General. 

Made— January 12th, 1989. 

Filed— January 13th, 1989. 



REGULATION TO AMEND 

REGULATION 751 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

PESTICIDES ACT 

Subsection 58a(4) of Regulation 751 of 
Revised Regulations of Ontario, 1980, 
as made by section 1 of Ontario Regu- 
lation 717/88, is amended by striking 
out "December, 1988" in the first line 
and inserting in lieu thereof "March, 
1989". 



4/89 



CORRECTION 

O. Reg. 744/88 under the Ontario Drug Benefit Act, 1986 published December 31st, 

1988. 

Item 405 of Part B of Schedule 1 to Ontario Regulation 689/86, made by section 1 of 
Ontario Regulation 744/88, as set out below. 



405 Timolol Valeate 
5mg Tab 



.1550 



353914 Blocadren FRS 

755842 Apo-Timol APX 



should have read as follows: 

405 Timolol Maleate 
5mg Tab 



.1550 



353914 Blocadren 
755842 Apo-Timol 



FRS 
APX 



4/89 



THE ONTARIO GAZETTE 



333 



CORRECTION 

O. Reg. 756/88 under the Municipal Boundary 
Negotiations Act, 1981 published January 7th, 
1989. 

Schedules A and B to Ontario Regulation 
756/88 as set out below should have appeared at 
the end of that Regulation. 



Schedule A 

AREA TO BE ANNEXED TO THE CITY OF 
KINGSTON 

The portion of the Township of Kingston described 
as follows: 

1 . Beginning at the intersection of the westerly 
boundary of the City of Kingston and the 
southeriy limit of King's Highway Number 
401; 

Thence westerly along the southerly limit of 
the said King's Highway 75.08 metres to a 
point; 

Thence south 0° 45' east 115.69 metres to a 
point on the northerly limit of the right-of- 
way of the Canadian Pacific Railways dis- 
tant 70.25 metres measured westerly there- 
along from the easterly limit of Lot 18 in 
Concession HI of the Township of Kingston; 

Thence southerly crossing the said right-of- 
way 30.48 metres to the northwesterly angle 
of Part 2 as shown on a Plan deposited in the 
Land Registry- Office for the Registry Divi- 
sion of Frontenac (No. 13) as Number 
13R-3611; 

Thence south 0° 42' 20" east along the west- 
erly limit of the said Part 2 1370.999 metres 
to the northwesterly limit of the right-of-way 
of the Canadian National Railways; 

Thence south 1° 35' 15' east 43.2 metres 



more or less to the northwesteriy boundary of 
the City of Kingston; 

Thence northeasterly along the boundary of 
the said City to the easterly limit of the said 
Lot 18; 

Thence northerly along the easterly limit of 
the said Lot 18 being along the westeriy 
boundary of the said City to the place of 
beginning. 

2. Part of lots 19, 20, 21 and 22 in Concession 
in of the Township of Kingston and being 
parts 1,2,3 and 4 as shown on a Plan depos- 
ited in the Land Registry Office for the Reg- 
istry Division of Frontenac (No. 13) as Num- 
ber' 13 R-7891. O. Reg. 756/88, Sched. A. 

Schedule B 

AREA TO BE AN'NEXED TO THE TOWNSHIP 
OF KINGSTON 

The portion of the City of Kingston described as fol- 
lows: 

Beginning at the point of intersection of a 
southerly boundary of the City of Kingston 
and the middle of the Little Cataraqui Creek 
the said point being 120 metres, more or less, 
north of the mouth of the said Creek; 

Thence northeriy along the middle of the Lit- 
tle Cataraqui Creek and the channel west of 
the unnamed island south of Bath Road to a 
point due east of the middle of the mouth of 
the West Branch of the said Creek; 

Thence westerly to and along the middle of 
the said West Branch to the westerly bound- 
ary of the said City; 

Thence southerly following the boundaries 
between the City of Kingston and the Town- 
ship of Kingston to the place of beginning. 
O. Reg. 756/88, Sched. B. 

4/89 



THE ONTARIO GAZETTE 335 

INDEX 4 



GOVERNMENT NOTICES 



Criminal Code 241 

Proclamations 242 

Motor Vehicle Transport Act, 1987 243 

Certificates of Incorporation 260 

Letters Patent of Incorporation Issued 277 

Certificates of Amalgamation 279 

Certificates of Continuance 301 

Transfer of Ontario Corporations 301 

Restated Certificates of Incorporation 301 

Amendments to Articles 302 

Articles of Revival 308 

Supplementary Letters Patent Issued 308 

Orders Reviving Corporate Powers 308 

Extra-Provincial Licence Endorsed 309 

Certificates of Dissolution 309 

Certificates of Arrangement 309 

Notice of Default in Complying with the Corporations Tax Act 310 

Orders in Council 314 

Pesticides Act 316 

Applications to Provincial Parliament — Private Bills 316 

Petitions to Provincial Parliament 317 

Applications to the Parliament of Canada 317 

Applications to Provincial Parliament 317 

CORPORATION NOTICES 319 

NOTICE TO CREDITORS 322 

DISSOLUTION OF PARTNERSHIP 322 

MISCELLANEOUS NOTICES 322 

SHERIFFS SALES OF LANDS 323 

SALE OF LAND BY PUBLIC TENDER 324 

PUBLICATIONS UNDER THE REGULATIONS ACT 

Education Act O. Reg. 6/89 330 

Hospital Labour Disputes Arbitration Act O. Reg. 8/89 331 

Labour Relations Act O. Reg. 7/89 331 

Ministr>- of Correctional Services Act O. Reg. 2/89 327 

Parkway Beh Plaiming and Development Act O. Reg. 5/89 239 

Pesticides Act O. Reg. 9/89 , 332 

Planning Act, 1983 O. Reg. 3/89 7. 328 

Planning Act, 1983 O. Reg. 4/89 329 

Correction to Ontario Drug Benefit Act, 1986 O. Reg. 744/88 332 

Correction to Municipal Boundary Negotiations Act, 1981 O. Reg. 756/88 333 



336 THE ONTARIO GAZETTE 



^ 




REGULATION MADE UNDER 
THE OFFICIAL NOTICES PUBLICATION ACT 

The Ontario Gazette is published each Saturday and advertisements must be received before 
Thursday 4 p.m. 9 days before publication date to ensure inclusion in the next issue. 

Advertisements should be typewritten or printed legibly, separate from covering letter. Number of 
insertions required must be stated and the names of any signing officers typewritten or printed. 

Advertising Rate: $11.45 per-single column 25 mm. 



The rates payable for copies of The Ontario Gazette are, 

by subscribers for a subscription of 52 weekly issues, $69.00 and 
by others for a single copy, $1.50 Payable in advance. 

Rates subject to change without notice. 



The above subscription rate includes book rate mailing. 
For 1st class mail service please add S52.00. 



Cheques should be made payable to THE TREASURER OF ONTARIO and 
forwarded to THE ONTARIO GAZETTE. 

All correspondence should be addressed: 

The Ontario Gazette 

Sth Floor, 880 Bay Street, Toronto, Ontario M7A 1N8 
Telephone 965-2238 

Please notify the Gazette Office of any address changes. 



f ran PUBLICATIONS ONTARIO 



EDUCATION ACT, Bilingual editicxi, S^>t. 88 $13.00 

REGUIAnai 269/80, Educaticsi Act, Oct. 88 2.00 

♦EUVHO^MENIAL FRDTECnC^ ACI and REGULATION 308/80, 

Oct. 88 8.00 

♦FAMILY BENEFITS AGI and REGUIATIOI 318/80, Oct. 88 3.50 
GENERAL WEIivARE ASSISTANCE ACT and RBGUIÀTK»IS, Oct. 88 3.00 

♦LIQUOR LICENCE ACI and RBGUIATION 581/80, Oct. 88 4.50 

♦PENSION BENEFITS ACI and REGULATION 708/87, Sept. 88 8.00 

POLICE ACI and REGUIAnOiS, Aug. 88 2.50 
PUBLIC OCMMERCIAL VEHICLES ACT and REGULATIONS, Aug. 88 3.50 

MINISTRY OF CITIZENSHIP, Annual Report 1987/88 2.50 

MINISTRY OF NATURAL RESOURCES, Annual Report 1987/88 3.40 

PROVINCIAL AUDITCX^, Annual R^»rt 1988 4.00 
OfCARIO ENERGY BOARD, Reasons for Decision - Consumers 

Gas - EBRO 452 14.00 
Advisory Canmittee on. SUBSTTRTTE CECISION MAKING for 

MENIALLY INCAPABLE FEPSOt^ 15.00 
ONTARIO'S MINES and MINERALS POLICY and LEGISIÀTIŒT: 

A Green Paper 5.00 

ONTARIO NIAGARA PARKS PLANNING: The Second Century 39.00 

SELECT axtCTTEE Oti EDUCATIOI: First R^»rt 3.50 

FIRE CODE, Feb. 1987 13.00 

CURRICULUM GUiraUNE: NATIVE lANGUAGES 1987 3.50 

GEOSCIENCE RESEARCH GRANT IRDGRAM 1987/88 3.00 

ONTARIO GBOIÛGICAL SURVEY: Sunmary of Field Work 1988 5.00 

(»rCARIO IÀBOUR RELATIŒ^ BOARD: R^xirts - S^t. 88 6.25 

HIGHWAY TRAFFIC ACT, Bilingual edition, Sept. 88 10.00 

*IAND TITTES ACI and REGUIATIONS, Oct. 88 9.50 
ONTARIO ASSESSMENT INSTRUMENT POOL: French as a 

seocHTd language 15.00 

ENJOYING RESEARCH? 10.00 

INIROCUCnOI TO OCIttJNITY PLANNING, Bilingual editicn 7.50 
MINISTRY OF AGRICUIHURE AND FOOD: Annual R^»rt, 

Bilingual editicn, 1987/88 2.00 



♦Bilingual office consolidât ic»TS with English only regulations. 

1/89 
For persCTial shc^ping: For mail orders: 
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9am-5pin, Monday to Friday Torcaito, Ontario, M7A 1N8 
Tel^ioie: 965-2054 (416) 965-6015; 1-800-268-7540 



Now available 

STATUTES OF ONTARIO 1987 

Price complete $25.00 

• • • 

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Price complete for 11 volumes is $140.00 

• • • 

THE REVISED REGULATIONS 
OF ONTARIO 1980 

Price complete for 10 volumes is $136.60 



• • 



ANNUAL STATUTES OF 
ONTARIO 

1981— $15.00 1982 — $18.00 1983 — $18.00 
1984 — $25.00 1985 — $15.00 1986 — $20.00 

• • • 

Orders must be prepaid. No discounts apply. All sales final. 

Make cheques or money orders payable to the Treasurer 
of Ontario. MasterCard and Visa accepted. 

Place your order by writing to: 

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For personal purchases visit: 

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Services 
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Ontario 



Need to know the laws governing 
Off-Road Vehicles? 

The new Act and Regulation are now part of the 

selected Statutes and Regulations of the updated 

looseleaf edition of the 

HIGHWAY TRAFFIC ACT 

The sturdy 3-ring poly binder contains the Highway Traffic 
Act and Regulations; Extracts from the Provincial Offences 
Act; Compulsory Automobile Insurance Act; Negligence 
Act; Extracts from the Criminal Code and Motor Vehicles 
Act; Motorized Snow Vehicles Act and Regulations; the 
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and Regulations; and the Off-Road Vehicles Act and 
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Acts and Regulations are updated throughout the year. 

A must for all who deal with or enforce the above laws. 

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Place your order by writing to: 

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For personal purchases visit: 

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880 Bay Street, 

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Ministry of 

Government 

Services 



.^ 



O. Reg. 10/89 



THE ONTARIO GAZETTE 



O. Reg. 12/89 409 



Publications Under The Regulations Act 



February 4th. 1989 



FLKL TAX ACT. 1981 

O. Kegr 10/89. 
General. 

Made--Januai>- 12th. 1989. 
Filed— Januar> 18th. 1989. 



5/89 



ONTARIO GUARANTEED ANNUAL 
CSCOME ACT 

O. Reè. 11«9. 
Guaranteed InoMiie LimiL 
Made— Januar>- 12th. 1989. 
Filed— January 18th. 1989. 



REGULATION TO .AMKND 

O-NTARIO REGU L.ATION 778/82 

MADE UNDER THE 

FUEL TAX ACT, 1981 

L— (1 ) Subsection 8 ( 1 ) of Ontario Reg- 
ulation 778/82. as last amended by sec- < 
tion 1 of Ontario Regulation 334/88. I 
exclusive of the clauses, is re\ oked and < 
the foDowing substituted therefor: 

11) Where a collector colours fuel in accordance 
nith the .\ct and the Regulations, the collector may 
deduct from the amount otherwise to be remitted to 
the Treasurer under section 1 1 of the Act .023 of a cent 
for each litre of fuel coloured b>' the collector as com- 
pensation for the collector s services but no compensa- , 
tion may be claimed by a collector with respect to fiicl. I 



(2) Section 8 of the said Regulation is 
amended by adding thereto the fol- 
lo^ng subsection: 

lia) The amount of compensation for a collectors 
services shaD be rounded to the nearest whole 
cent. O. Reg. 10/89. s. 1 (2). 

2. This Regulation shall be deemed to 
have come into force on the 1st day of 
January . 1989 and applies to compen- 
sation paid to a collector with respect 
to fuel coloured by the collector on or 
after that dav. 



REGULATION iLADE UNDER THE 

ONT.ARIO GUARANTEED .\NNXAL INCOME 

ACT 



GUAR.AN-TEED INCOME LDHT 

1. Commencing with the month of January, 
the guaranteed income limit fcK' purposes of. 



1989. 



(a) subclause l(j)(i) of the .Act is $9,485.64; 

(b) siihrtansr 1 (j) fii) of the Act is $7^78. 12; 

(c) subclause 1 CJ) Uii) of the Act is $7,878.12; 
and 

(d) siihHaiisf 1 (j) Ov) of the Act is $13.756.24. 
O. Reg. 1]/B9,s. 1. 

2. Ontario Régulation 670/88 is revoked. 

3. This Regulation shaD be deemed to have crane 
into £Drce on the 1st day ot January. 1989. 

5/89 



TOBACCO T.AX ACT 

O. Reg. 12/89. 

General. 

Made— January 12th. 1989. 

Filed— January 18th. 1989. 



REGLX.ATIO.N TO AMEND 

REGUX ATION 934 OF 

REMSED REGULATIONS 

OF ONTARIO. 1980 

.MADE UNDER THE 

TOBACCO TAX ACT 

1. Item 92 of section 2 of Regulation 934 
of Re\-ised Regulations of Ontario. 
1980, as remade by section 1 of 
Ontario Regulation 743/84. is revoked. 

2. This Regulation shall be deemed to 
have come into force on the 1st day of 
November. 1988. 



5/89 



11 



410 



THE ONTARIO GAZETTE 



O. Reg. 13/89 



ONTARIO HOME OWNERSHIP SAVINGS 
PLAN ACT, 1988 

O. Reg. 13/89. 

General. 

Made — January 12th, 1989. 

Filed—January 18th, 1989. 



REGULATION MADE UNDER THE 

ONTARIO HOME OWNERSHIP SAVINGS PLAN 

ACT, 1988 

GENERAL 

ELIGIBLE HOMES 

1. — (1) For the purpx)ses of clause 1 (2) (b) of the 
Act, a "semi-detached house" includes a dwelling 
house that is joined to another dwelling house at the 
footing or foundation by a wall above or below grade 
or both above and below grade. 

(2) For the purposes of clause 1 (2) (e) of the Act, 
the prescribed standards with which a mobile home 
must comply are Canadian Standards Association 
Standard CAN/CSA-Z240 MH Series-M86 Mobile 
Homes. 

(3) For the purposes of clause 1 (2) (h) of the Act, a 
manufactured home that is manufactured in whole or 
in part at an offsite location and that is intended for 
basement installation is an eligible home if the manu- 
factured home is designed and intended for year-round 
residential occupancy and it complies with, 

(a) Ontario Regulation 419/86 (General) under 
the Building Code Act; 

(b) if the manufactured home is constructed in 
sections that are not wider than 4.3 metres, 
Canadian Standards Association Standard 
Z240.2.1 Structural Requirements for 
Mobile Homes and Canadian Standards 
Association Standard Z240.8. 1 Light Duty 
Windows; or 

(c) if the manufactured home is constructed in 
sections that are 4.3 metres or wider, Cana- 
dian Standards Association Standard A277- 
M1981 Procedure for Certification of Fac- 
tory Built Houses. 

(4) For the purposes of subclause 1 (3) (d) (ii) of the 
Act, the prescribed standard for the foundation of a 
mobile home is Canadian Standards Association Stan- 
dard CAN 3-Z240. 10. 1-86 Recommended Practice for 
the Site Preparation, Foundation and Anchorage of 
Mobile Homes. 

(5) For the purposes of clause 1 (3) (e) of the Act, an 
individual shall not be considered to own an eligible 
home that is a manufactured home referred to in sub- 
section (3) unless the individual has an ownership 
interest in the eligible home and, 



(a) the individual owns a freehold estate, other 
than as a mortgagee, in the land that will be 
subjacent to the eligible home after basement 
installation; or 

(b) the individual is a lessee of the land that will 
be subjacent to the eligible home after base- 
ment installation. O. Reg. 13/89, s. 1. 

INTEREST RATES 

2. For the purposes of the Act, the prescribed rate 
of interest is 2 per cent less than the rate or rates of 
interest determined under Part XLIII of the Regula- 
tions made under the Income Tax Act (Canada) for the 
purposes of subsection 161 (1) of that Act for the same 
period of time for which interest is being calculated 
under the Act. O. Reg. 13/89, s. 2. 

ADDITIONAL TERMS OF THE PLAN 

3. — (1) For the purpose of paragraph 18 of section 2 
of the Act, the following additional conditions are pre- 
scribed: 

1. The plan describes all fees and service 
charges that may be impx)sed by the deposi- 
tary of the plan or by any other person under 
the terms of the plan, in connection with the 
plan or any of the assets of the plan and the 
plan specifies the amount of the fees and ser- 
vice charges or sets out a formula or method 
for calculating the fees and service charges. 

2. The plan provides that the planholder is not 
liable for any fees or service charges in con- 
nection with the plan or assets of the plan 
that are not described in the terms of the 
plan or for the portion of any fee or service 
charge in excess of the amount specified in 
the terms of the plan unless the planholder 
has been given written notice of the intention 
to impose or increase the fee or service 
charge at least thirty days before the fee or 
service charge is to be first imposed or the 
increase is to takç effect. 

3. The plan provides that no information or 
material in the possession of the depositary in 
connection with a planholder's Ontario home 
ownership savings plan that relates to the 
plan, the planholder or the spouse of the 
planholder shall be disclosed or released by 
the depositary to any person not legally enti- 
tled thereto without the prior written consent 
of the planholder. 

(2) For the purposes of subsection (1), if a plan- 
holder is given written notice of an intention to impose 
or increase a fee or service charge at least thirty days 
before the imposition or increase, the fee or service 
charge or the increased fee or service charge is consid- 
ered to be a fee or service charge described in the 
terms of the plan. O. Reg. 13/89, s. 3. 



12 



O. Reg. 13/89 



THE ONTARIO GAZETTE 



411 



HOlflE PURCHASE RELEASES 

4. — (1) For the purposes of paragraphs 1 and 2 of 
subsection 5 (1) of the Act, a planholder of an Ontario 
home ownership savings plan shall designate a solici- 
tor and make api^cation to the depositary- of the plan- 
holder's plan for release of the assets of the plan by 
providing to the depositary a partially completed 
home purchase declaration in Form 2 that contains, 

(a) the information set out in Parts 1 and 3 of the 
declaration and set out in Part 2 of the decla- 
ration if the planholder is married and either 
residing with his or her spouse or residing 
apart from his or her spouse for reasons other 
than marriage breakdown; 

(b) the planholder's signed certificate and direc- 
tion set out in Part 2 of the declaration; 

(c) the signed certificate of the spouse of the 
planholder set out in Part 2 of the declaration 
if the planholder b married and either resid- 
ing with his or her spouse or residing apart 
from his or her spouse for reasons other than 
marriage breakdown; and 

(d) the undertakings set out in Part 3 of the dec- 
laration to be given by the solicitor desig- 
nated by the planholder. 

(2) For the purposes of paragraph 3 of subsection 
5 (1) of the Act, a return that is required to be filed by 
a depositary of an Ontario home ownership savings 
plan shall be in the form of a true cop>- of a home pur- 
chase declaration in Form 2 that relates to the release 
of the assets of the plan and shall be, 

(a) complete to the extent required under sub- 
section (1) with respect to Parts 1, 2 aiHl 3; 
and 

(b) completed and executed by an officer of the 
depositary authorized by the depositary to 
complete and execute such returns on behalf 
of the depositary with respect to Part 4. 

(3) For the purposes of paragraph 3 of subsection 
5 (1) of the Act, a depositary shall file a return 
required under that paragraph by mailing the return 
by ordinar>' prepaid mail to the Minister on or before 
the 10th day of the month following the month in 
which the depositary released the assets of the plan to 
the soUcitor designated by the planholder. 

(4) For the purposes of subparagr^h (i) of para- 
graph S and paragraph 6 of subsection 5 ( 1) of the Act, 
the prescribed time is 180 daj-s after the date of release 
by the depositary of the assets of the plan to the solici- 
tor in trust. 

(5) For the purposes of paragraph 5 of subsection 
S (1) of the Act, the prescribed manner in which a 
solicitor shall remit the entire assets of a plan is by 
way of a pavTnent by the solicitor to the depositary 



&x)m whom the assets were received to the credit of 
the planholder's Ontario home ownership savings plan 
in an amount that is equal to the amount released to 
the solicitor in trust on the release of the assets of the 
plan, together with a true copy of the home purchase 
declaration in Form 2 that contains the signed certifi- 
cate of the solicitor that is required under Part B of 
Part 5 of the declaration. O. Reg. 13/89, s. 4. 

WITHHOLDINGS AND REMITTANCES 

5. For the purposes of clause 9 (2) (b) of the Act, an 
amount required to be deducted and withheld by a 
depositary shall be remitted, together with a return in 
Form 3, by the depositary to the Minister, 

(a) if the amount is required to be deducted and 
withheld on or after the first day of a month 
but before the 16th day of that month, on or 
before the 25th day of that month; or 

(b) if the amount is required to be deducted and 
withheld after the 15 th day of a month but 
on or before the last day of that month, on or 
before the 10th day of the next following 
month. O. Reg. 13/89, s. 5. 

6. No amount is required to be deducted, withheld 
and remitted by the depositar>' of an Ontario home 
ownership savings plan who pa>-s out or releases any 
assets of the plan to the planholder under subsection 
9 (2) of the Act, 

(a) if the payment or release is made on or before 
the 31st day of December of the calendar 
year in which the planholder first became a 
planholder of an Ontario home ownership 
savings plan; and 

(b) if no transfer of assets under section 7 of the 
Act has been made to the plan. O. Reg. 

13/89, s. 6. 

RECORDS OF DEPOSITARY 

7. — (1) For the purposes of subsection 14 (1) of the 
Act, the records required to be kept by a depositary 
are records that are sufficient to determine, 

(a) the amount and date of each contribution 
made by each planholder who enters into an 
Ontario home ownership savings plan with 
the depositary; 

(b) the social insurance number of each plan- 
holder who enters into an Ontario home 
ownership savings plan with the depositary 
and of the spouse, if any, of each such plan- 
holder, unless the planholder and the spouse 
are living apart by reason of marriage break- 
down; 

(c) all amounts credited by the depositary to 
each Ontario home ownership savings plan 
of which it is the depositarv-; 



13 



412 



THE ONTARIO GAZETTE 



O. Reg. 13/89 



(d) all amounts required to be deducted, with- 
held and remitted by the depositary to the 
Minister under section 9 of the Act and the 
date or dates when the amounts were remit- 
ted; 

(e) the nature of the types of the deposits in 
which the assets of the Ontario home owner- 
ship savings plans are held by the depositary; 
and 

(f) the dates, amounts and particulars of all 
releases, transfers and payments of assets of 
Ontario home ownership savings plans of 
which it is the depositary. 

(2) A depositary may keep records that are required 
to be kept under the Act in a form that is a reproduc- 
tion made by a photographic, photostatic, microfilm- 
ing or other process that reproduces an exact copy of 
an original, if the depositary provides reasonable 
access to any equipment that is required to read the 
reproduced records. 

(3) A depositary may keep records that are required 
to be kept under the Act by means of an electronic 
data system if the depositary maintains the original 
records in the form of an accounting system that pro- 
vides ready access to primary source documents and 
data containing the transactions that are recorded on 
the electronic data system. O. Reg. 13/89, s. 7. 

REVIEW AND APPROVAL OF SPECIMEN PLANS 

8. — (1) A depositary may apply at any time to the 
Minister for a ruling that the terms of a specimen plan 
or an amended specimen plan prepared by the deposi- 
tary for use under the Act as an Ontario home owner- 
ship savings plan comply with the Act by submitting a 
copy of the terms of the specimen plan or the amended 
sp)ecimen plan to the Minister. 

(2) The Minister shall provide to each depositary 
who applies for a ruling with respect to a specimen 
plan or an amended specimen plan, 

(a) if the Minister is of the opinion that the terms 
of the specimen plan or the amended speci- 
men plan comply with the Act, a ruling to 
that effect; or 

(b) if the Minister is of the opinion that the terms 
of the specimen plan or the amended speci- 
men plan do not comply with the Act, a rul- 
ing to that effect that sets out the reasons 
why the Minister is of that opinion. 

(3) A ruling given by the Minister under clause 
(2) (a) with respect to the terms of a specimen plan or 
an amended specimen plan is effective only with resp- 
sect to the specimen plan or amended specimen plan 
as submitted to the Minister. 



(4) No ruling given by the Minister under this sec- 
tion with respect to the terms of a specimen plan or an 
amended specimen plan shall be considered to be a 
ruling given by the Minister that a home ownership 
savings plan entered into by the depositary and a per- 
son is an Ontario home ownership savings plan under 
the Act or that any person is entitled under the Act 
and the Income Tax Act to claim a tax credit with 
respect to contributions to the home ownership sav- 
ings plan. O. Reg. 13/89, s. 8. 



9. — (1) An application by an individual to a deposi- 
tary to enter into an Ontario home ownership savings 
plan with the depositary shall be in Form 1. 

(2) An application to enter into an Ontario home 
ownership savings plan shall be filed with the Minister 
by the depositary on or before the 10th day of the 
month following the month during which the individ- 
ual and the depositary entered into the plan. 

(3) A home purchase declaration referred to in sec- 
tion 4 shall be in Form 2. 

(4) A return required under clause 9 (2) (a) of the 
Act shall be in Form 3 and shall be completed by the 
planholder and the depositary of the plan. 

(5) A notice of transfer of a plan under section 7 of 
the Act shall be in Form 4 and shall be completed by 
the surviving spouse of the deceased planholder, the 
depositary of the plan of the deceased planholder and 
the depositary of the plan of the surviving spouse. 

(6) A notice in Form 4 shall be filed with the Minis- 
ter by the depositary of the plan of the surviving 
spouse on or before the 10th day of the month follow- 
ing the month in which the transfer was completed. 

(7) A direction by a planholder of an Ontario home 
ownership savings plan to the depositary of the plan 
under section 8 of the Act to transfer the assets of the 
plan to a replacement depositary shall be in Form 4 
and shall be completed by the planholder, the deposi- 
tary and the replacement depositary. 

(8) A direction in Form 4 shall be filed with the 
Minister by the replacement depositary on or before 
the 10th day of the month following the month in 
which the replacement depositary received the assets 
of the plan. 

(9) A notice of objection referred to in subsections 
10(3) and 12(3) of the Act shall be in Form 5. 
O. Reg. 13/89, s. 9. 

10. This Regulation shall be deemed to have come 
into force on the 8th day of June, 1988 and applies 
with respect to Ontario home ownership savings plans 
entered into on or after the 1st day of September, 
1988. O. Reg. 13/89, s. 10. 



14 



O. Reg. 13/89 



THE ONTARIO GAZETTE 

Form 1 
Ontario Home Ownership Savings Plan Act, 1988 



413 



Application for the Ontario Home Ownership Savings Plan 



Applicant 



\ \-\ \ \ I-! i — L 



I I I L 



J I ^ J i L 



J i I L 



J i I I I 



i 1 I \ i i L 



I I I i I 



So: J( •-»»»«» » 



L L_ji i L_ Î 






S«ev*«»4 



J I L 1 

' I i L 



I \ I I 1^ U^i-.i 

t ! i i I i 1 L 



I I I I I I I I Ll-J ! i ' ' i- 



m 



1 i 


1-1 1 \ ! ! 


Ua*ng«tkM9 
1 1 


1 1 t 1 


1 ! 


I _JL _ L 



Spouse (aMMl b* cowpt»m if appacMl it —iHd) 






'>•*-, 




- 


1 1 I ! i ! I i i 1 ! « 


. .1 


1 i 1 J. Î i 1 ' 




1 i i 1 1 i ! i . . 




: 1 1 1 ! ! i 1 f 1 1 t 


1 _ i 









DttpOSlufy (lo bv cowplstotf ky FtnancM InMHuMon) 



V_L 



Spouse Certificate 
I have never owned an eligible iKHne 
anywliere in ttie «rortd. eitlier jointly 
with anottier person or otiierwise. 



APPLICANT CEHTIFICATE 

I iMnby aiifiiy 10 «cMiiah an Ortw Ham» Omanti^ Sawngs Plan arx] 



a) i aMi 18 years of aga or owe* and 
bl iimncwroBnMlancigWtham 



a rcMSefit of Onrano 



! and acxuae The 



■» QaifioHan»aiw»^>p 5a M n g ari » n >laiaWl andlB« 

w tf Bia panMbas wieiai i maaiido 



I» 1» Inanoat a—iiaon a» m I by — lanmry J nt i njm e. and ag i ij i i 

B b* bowd by lia» •< ■« uM a iim ai my Onrnn ikmc Oancnlap 
S»nn{p Pirn tantanMnd loi ■■■ annm oi ■« OHOSP tai ocdt « baaad 
on "cona and IW a Ms emit « one year does not necesaariiir guaraMee 



AppÉcanrs Sgnabxe 



ol 

Revenue 
Oaaro 



O. Reg. 13/89, Foiro 1. 



15 



414 



-f i Ontino 
, Home Ownership 
' SwingsPlan 



THE ONTARIO GAZETTE O. Reg. 13/89 

Form 2 
Ontario Home Ownership Savings Plan Act, 1988 

Ontario Home Ownership Savings Plan Home Purchase Declaration 



1 . Planholder 



1 1 ! 1 1 1 


J _.._!_ _..i ±..._.J_...i _..i 


1 


M> 


rilal SUtui 

D" - 


1 1 SiTflfflT''') 


N 


G'ven Nwne aiid Imt^ls 

1 ! 1 1 i i 


i 1 J i i !. 






Socal Insuiaœe Nuintjfr 

1 I J -1 1 1 i- 


Dal«olB«1h 


"l 


A<ld>csv 






















1P'f»v«»re 


! rudm Cnrto 

1 Î 1 


1 


Teteiitione Nuinbei 

si 1 : - 1 : : 


i Pfoposed Closing Dale ol Pijrcl 


ase ol 111 


[ligihl 


e Home 


1 ! i : ! 


1 , 



2. Spouse (must be completed If planholder It nurrled) 




















'Sinnai.ie 

... .J I.. !,..._. I_ i ..J ...1 1 ._. J 1 J- L. 


_ i J. 


_.*..._, 1 J 


. J..-, i 


1 


1 


1- 1 


1 


1 




Given Name and liwi.als 

. 1 i 1 1 i 1 i Î : 1 1 1 


1 1 


Dale ol Binl 






1 


! 


1 







nage lo iMe planiioldef 



Stxxjse s S-g'»< 



Planholder Certificate end Direction 

I cenify thai t have riever owned an e'igible honie anywhere m the woftd eilhei jointly with 
another person or otherwise 

I (Itfect thai the assets ol niy plan be tranî^lerred to the solicitor designated m Section 3 tieiow 
to be held m trust by hirn/her to be applied toward the purchase prce o( my eligible liori>e 



v""""^ 



3. Solicitor (to be completed by Solicitor) 






'rjflntc and AUdiess 




1 




_ J _J J L-.l 1 .1 1 . 


Solicitor's Undertaking To: The PIsnholder/The Ministry of Revenue 

I undertake to hold the assets ol the plan ol the planholder named m Section t above, in 
tnist jOiniiy for the planholder and ihe Crown, to be applied toward the purchase price of 
the planholder's eligible home 

II the agreenieni o( purchase and sale is rx)( completed within 1B0 days from the date of 
Ihe Iransler ol the assets ol the plan to me. or m the event thai 1 cease to represent the plan- 
holder named m Section 1 above m the purchase ol the eligible home. 1 undertake to return 
Ihe toiai assets ol the plan lo the depositary Irom which ihey were released 

I 




J 


V^Solicilor's Signalure Dale 



4. Depositary (to bo completed by FInanclel Inetltutlon) 




'Accnunl Numbe' 

J L 1 1 J i i J l..._...l... [ 1 


lolal f uihJs Transte'iod lo St^c-lo. 

j J J ..]_ i 


. , 1 


Date Funds Tianster/ed » 


aSolcilor v M D 

...._ J J J 1 1 1 


Insldutioft and B.anch No 

.1 J 1 1 1 l....„ I 


Plan Cteaiioo Dale 


V i M 1 

■ i i 1 1 1 


Signature ol Authorized Olficial 


J 



S. Properly Identilication (to be completed by Solicitor) 



'Assessrncnl HoH Number 

-1 i . 1 -1 1 1 i 1 1 1 1 1 1 1 i 1 1 1 


lolal ConsKJetation tor the Pu»cha 

1 1 1 


L .. J '■> 


_L . _ 


Municipal Address o( Property 








Province 


Posial Code 

1 1 


1 1 . 



Solicitor Certificate (complete either a or B) 



A I ceriily that the above purchase was completed c 



B I certily that the above purchase was not completed, and all the assets ot 
the plan have been returned to rhe depositary Irom whch they were released. 



SoliC'loi's Signature 



Copy t - Ministry of Revenue 

Ministry 

Of 

Revenue 



^ completed) 2 - Ministry of Revenue (when lui k 



) Sd-citot) 3 - Depositary 



O. Reg. 13/89, Form 2. 



16 



O. Reg. 13/89 



Ml 



THE ONTARIO GAZETTE 

Form 3 

Ontario Home Ownership Savings Plan Act. 1988 

Ontario Home Ownership Savings Plan Temtination 



415 



J I j^ 



_l i i L 



J I I i I L 



J I I L 



_i t IZZA £ 1 



1 _J_ 

J I I L 



J L 



_J I L 



± L_l L 



-i ) J 



J I I I I i L 



I ! 






m»»» j —i » » B be dMucMd. nimij am » i «iii id aw M»W) ol 
ol Vw 1^ oadi t vM »9 n tmtmm S n b» pad bf nw 






Depositary (1o be rnnnmnd by rmwicM b al i l w tu MI 



± I J I I I 



J L 



J ! L 



^ — 



pspc* c«r«tf *w%auec#fteiDtJaBaK(^»<esiinw>r«!n 



lilt 



•ti? Un<!J^ rf Bte--»^^ [ 



I T l lli n — J l OM*. OTd ■« ■« 



IS ■» Hmaby of Rmraie •« b» tat- 
. »» dM» wqMll iwdf» OMno 
H—e (^— i^ip Sa iina t Hêt Acl law 



O. Reg. 13/89, Form 3. 



L 



17 



416 



I HonwONiRisJ^i 
^ savjngsPbn 



THE ONTARIO GAZETTE 

Form 4 

Ontario Home Ownership Savings Plan Art, 1988 
Ontario Home Ownership Savings Plan Transfer 



O. Reg. 13/89 



1. Planholder 



( I Transfer of plan between depositaries (same planholder) 

I — I Transfer to plan of surviving spouse (inter- and Inlra-deposHary) 



/-Surname 
i 1 


1 1 


.1 l. 




.1 i 


J i 1 1... 


]...._ 


Soc.al insijranc 
1 


!-i II 


i-l 


! 1. 




Giwen Name and In 
1 


liais 
1 1 


1 1 




i 1 


! : i 1 


1 


Dale 01 Brrlh 


. "l . 


^- 


..„!._ 


- 


Addiess 


















Province 


Postal Code 

i 1 1 1 1 


1 hereby rjrrecl Ihe 


ransleroMr. 


assels <JI rr 


y Ontarro H 


ome OwnersTr 


DtracHon 

) Savings Plan ffOn> AcctXJn 


NO 














" "'^'"' '° "" """ 






(Deiws.la 


' 


' 




(Reptace«"ent Depositaiy 




1 


V.f'la.ilruklcr's SrrjnaU 


to 














Dale 






) 



2. Surviving Spouse 










''Surname 

i J 1 1 1 1 ! 1 J i i i t 1 


Social Instirance Number 

i i Î-I ! 


! |-| ! i 




Given Name 3r>d Indals 

i 1 1 1 1 1 i 1 ! i ! i 1 1 


Dale ol Birth 

'i L 


" 1 'l 




Certificate and Direction 

1 hereby cerlily thai 1 arti a planholder d an Ontario Home Ownership Savings Plan and drecl that th 


e assets ol my oeceased spouse's plan be 

lor credit to my pl= 


translerred Irom AcrounI No 


/ 


a, 


(Depo&lafy ( (Replacfnent Depositary 

1 achiKiwiedge ihat as a result of th.s transfcf i may become liable lo repay la» credits plus mieresi a 
the deceased planholder may have been haWe lo repay a*; a «esult oi any other transfer 


towed lo the deceased planholder as we" a- 


I^W^ses Signature 


Darr 





3. Replacement Depositary (Transferee) 



' OHOSP Regis 


rallOn No 


Account No 





i j i i i 




>. 


Institutico and Branch No 

i i 1 1 1 i 1 


Date Transfer Requested 


.. ]...._ i__J___. I 


__!___.. L_____ 








Ccitlflccts 

1 acknowledge ihe receipt of the above reauesl for a transfer of the 
assets of the plan and certify that the assets received will be credit 
ed to the plan ot the planholder or the plan d the surviving spouse 

1 certily ihal Ihe .rxliv.dual named -n either Section 1 o( Section 2 
as applicable has entered into an arrangement with the 
replacement depositary thai -s an Onlano Home Ownership 
Savings Plan approved by Ihe Ministry ol Revenue 




V 










D^le 


J 



4. Depositary (Transferor) 



/■Acco 


uni No 1 N^ de compte 

1 1 1 i 


j Plan Crcali 
il 1 1 1 1 i 


n Date 


1 Y ! 


"i r 


^ 


Inslrtii 


■on and Branch No 

J 1 i 1 


Date 0( Transler 1 ^ i " 

i 1 1 1 1 !.. 


1 'i 


ranslerred Anxxjnl 

III! 


1 ♦ 


i 






Certnicate 

In accordance wilh the above Direction 1 hereby certify that the 
amount slated above as the Transleired Amouni 

I) IS the total value ol ihe assets of the plan as ol the date d ttansier 
less any seiv-ce charges or adminisirahon lees charged by the de- 
positary and 

II) was transferred lo the plan o* the planholder o« to the plan of 
Ihe surviving spouse o' Ihe planholder .is applicable, at Ihe re 
placement deposrtary on the above Dale ol Transfer 




Signature ol Authon/ed Oflicial 




Due 







5. Replacement Depositary (Transferee, after receipt of funds) 



/"Dale 

Plan 
land 


Funds Dec 
au ieg<me 

\ 1 


)os.ted in j 

1 1 i 


hast>Pf 


Certificate 

n received m loiai arxJ credited lo 
)lan ol the surviving spouse o' Ih 


the Translerred Amouni 
he plan ol the planholder 
planholder as direcied 




L± 


S-qnatu 


e ot Authorised O'lioal 




Oale 



MirifSlry 

of 

Revenue 



Copy 1 Mlnlatry of Revenue 2 Replacement Depositary - (after receipt of funds) 

4 Replacemenl Dcpoaltary - (when transfer requested] 



3 Depositary 
5 PlanhoWer 



O. Reg. 13/89, Form 4. 



O. Reg. 13/89 



THE ONTARIO GAZETTE 

Form 5 
Ontario Home Ownership Savings Plan Act, 1988 



417 



NOTICE OF OBJECTION 



print or type Inforwatioo on this term, 
n* copy of the NOTICE OF OBJECTION by REGISTERED MAIL addresssd to: 
Ministry ot Ray«nue 
c/o The Director, Tax Appeals Branch 
P.O. Box 627 
53 King Street nest 
Oshawa. Ontario 

LIH aM5 
velope containing this NOTICE OF OBJECTION eust be postaarliad aithin sixty days from the day of nailing 
ry by personal service of ttf MINISTER'S NOTICE OF PtWPOSAL TO CLOSE THE PLAN or DETERMINATION OF TAX 
RECOVERY to «hich objection Is being eade. 



Name of Person Objecting 


Telephone i*î. 
( ) 


ttaiiing Address, Street Nweer and Naae 


City/To«« 


Province 


Postal Olde 

IIHM 



NOTICE Of OBJECTION Is h«ret>y given to trt« MINISTER'S NOTICE OF PWPOSAL to close the plan or NOTICE OF 

DETEHMIMATION of tax credit recovery dated the day of , 19 , «herein the 

Minister has deteroiined that: 

the plan failed to cOKply with the requiraiaents of Section 2 

a contribution Made to a plan »as not a qualifying contribution 

the planholder owns or owned an interest in an eligible hoee 

ttte spouse of the planholder owns or owned an Interest In an eligible ttamm 

the assets of the plan were not held in the fom of qualified investiaents 

tHe assets of the plan were used in ttw purckAse of property that «as not a qualifying eligible home 

the assets of the plan were used in the purchase of property fro« a person who did no* teal at arm* s 
length with the planholder for consideration that was less than the value of the plan 

the BMount of tt»e tax credit recovery plus interest is S ^ 



The following are the reasons for objection and the relevant facts: 

(If space Is Insufficient, a separate BMNorandun should be attached setting fortli the full statawnt of reasons 

for objection and relevant facts.) 

Checfc here If additional sheets are attached. 



This NOTICE OF OeJECTION Must be signed by the person objecting to who» the Minister's KOTICE OF PWDPOSAL w 
NOTICE OF DeTEmiNATIQN was swit. 

0«''"9 [Name (print) Isignaturo 



I contlm that 

has the authority to coMBunicate on my behalf concerning this «otice of Objection. 

I authorize the Tax Appeals Branch to collect personal inforeation froM and disclose personal information to «y 

representative In accordance with the Freedom ot I ntormatlofi and _ Protection of Privacy Act, 1987 . 



Signature of the person objecting Address of 



5/89 



O. Reg. 13/89, Form 5. 



19 



418 



THE ONTARIO GAZETTE 



O. Reg. 14/89 



RAGE TRACKS TAX ACT, 1988 

O. Reg. 14/89. 
General. 

Made— January 12th, 1989. 
Filed— January 18th, 1989. 



REGULATION MADE UNDER THE 
RACE TRACKS TAX ACT, 1988 

GENERAL 

RETURNS AND REMITTANCES 

1, — (1) For the purpose of clause 3 (2) (c) of the 
Act, every operator required to collect tax under the 
Act shall remit to the Treasurer, on or before the next 
following Friday, all amounts collected by the opera- 
tor under the Act during each weekly f)eriod that com- 
mences with Monday and ends with the following 
Sunday. 

(2) For the purpose of subsection 3 (4) of the Act, 
every operator shall submit to the Minister, on or 
before the next following Friday, a return for each 
weekly period that commences with Monday and ends 
with the following Sunday, accounting for the tax col- 
lected by the operator under the Act during the period. 
O. Reg. 14/89, s. 1. 

DELEGATION OF AUTHORITY 

2. — (1) The Deputy Minister of Revenue and the 
officer of the Ministry of Revenue holding the position 
of Assistant Deputy Minister, Tax Revenue and 
Grants Program, may exercise any power and perform 
any duty conferred or imposed upon the Minister by 
the Act or the regulations. 

(2) The following officers of the Retail Sales Tax 
Branch of the Ministry of Revenue may exercise the 
powers and perform the duties of the Minister under 
subsection 3 (5), clause 4 (2) (b) and subsection 4 (3) of 
the Act: 

1. Director. 

2. Manager, Control and Analysis, Services 
and Revenue Control. 

(3) The officer of the Retail Sales Tax Branch of the 
Ministry of Revenue holding the position of Director 
may exercise the powers and perform the duties of the 
Minister under subsection 5 (1) and subsections 13 (5), 
(6) and (7) of the Act. 

(4) The following officers of the Ministry of Reve- 
nue may exercise the pwwers and perform the duties of 
the Minister under section 6 of the Act: 

1 . Director, Retail Sales Tax Branch. 

2. Director, Special Investigations Branch. 



3. Manager, Control and Analysis, Services 
and Revenue Control, Retail Sales Tax 
Branch. 

4. Group Manager, Centralized Programs, 
Retail Sales Tax Branch. 

(5) The following officers of the Retail Sales Tax 
Branch of the Ministry of Revenue may exercise the 
powers and perform the duties of the Minister under 
section 9 of the Act: 

1 . Director. 

2. Manager, Control and Analysis, Services 
and Revenue Control. 

3. Group Manager, Centralized Programs. 

(6) The following officers of the Ministry of Reve- 
nue may exercise the powers and perform the duties of 
the Minister under section 10 of the Act: 

1 . Director, Retail Sales Tax Branch. 

2. Director, Special Investigations Branch. 

3. Group Manager, Centralized Programs, 
Retail Sales Tax Branch. 

4. Collections Manager, Retail Sales Tax 
Branch. 

(7) The officer of the Ministry of Revenue holding 
the position of Director, Tax Appeals Branch, may 
exercise the powers and perform the duties of the Min- 
ister under section 1 1 of the Act. 

(8) The following officers of the Ministry of Reve- 
nue may exercise the powers and perform the duties of 
the Minister under subsections 12 (4) and (5) of the 
Act: 

1. Director, Retail Sales Tax Branch. 

2. Director, Special Investigations Branch. 
O. Reg. 14/89, s. 2. 

INTEREST RATES 

3. — (1) Except as provided in subsection (5), the 
rate of interest payable per annum under the Act shall 
be the mean rate rounded to the nearest whole per- 
centage point of the lowest interest rates charged to 
the most credit worthy borrowers for prime business 
loans by the Royal Bank of Canada, the Bank of Nova 
Scotia, the Canadian Imperial Bank of Commerce, the 
Bank of Montreal and the Toronto-Dominion Bank 
and, 

(a) where the date of the interest adjustment is 
the 1st day of April, the rate shall be based 
on the mean interest rates effective on the 
immediately preceding iSth day of January; 
and 



20 



O. Reg. 14/89 



THE ONTARIO GAZETTE 



O. Reg. 15/89 419 



(b) where the date of the interest adjustment is 
the 1st day of October, the rate shall be 
based on the mean interest rates effective on 
the immediately preceding 15th day of July. 

(2) The rate of interest under the Act shall be 
reviewed semi-annually and adjusted effective the 1st 
day of April and the 1st day of October in each year 
and shall remain in force until the next adjustment 
date. 

(3) The Minister shall cause the rate of interest to be 
printed in The Ontario Gazette published next after 
the coming into force of the adjusted rate. 

(4) Where a calculation of interest is made under 
the Act, the rate of interest payable with respect to 
each portion of the period of calculation shall be the 
rate of interest in effect for that portion of the period 
determined under subsection (1) or (5), as the case 
requires. 

(5) For the purposes of the Act, the rate of interest 
for the period of calculation is 10 per cent per annum 
in respect of that portion of the period that is before 
the 1st day of April, 1988. O. Reg. 14/89, s. 3. 

BOOKS AND RECORDS 

4. — (1) For the purposes of subsection 4 (1) of the 
Act, an operator shall keep records and books of 
account that are in sufficient form and that contain 
sufficient information in order that the Minister may 
determine, 

(a) the total amount wagered on each race as 
triactor bets; 

(b) the total amount wagered on each race other 
than triactor bets; 

(c) the total tax payable and remitted on triactor 
bets at each race meeting; and 

(d) the total tax payable and remitted on bets 
other than triactor bets at each race meeting. 

(2) An operator may keep records and books of 
account that are required to be kept under the Act in a 
form that is a reproduction made by a photographic, 
photostatic, microfilming or other process that repro- 
duces an exact copy of an original, if the operator pro- 
vides reasonable access to any equipment th^ ^t is 
required to read the reproduced record or books of 
account. 

(3) An operator may keep records and books of 
account that are required to be kept under the Act in 
the form of an electronic data processing system if the 
operator, 

(a) permits the Minister or a person designated 
by the Minister to conduct reasonable tests 
on the hardware and software comprising 
the electronic data processing system in order 



to verify the accuracy of the processing of 
transactions and the accuracy of data pro- 
cessing controls; 

(b) provides full information to the Minister on 
all hardware and software changes that may 
affect the electronic data processing sjrstem; 
and 

(c) maintains an accounting system that pro- 
vides access to primary' source documents 
and data that contain the transactions that 
are recorded on the electronic data process- 
ing system. O. Reg. 14/89, s. 4. 

5. For the purposes of subsection 4 (4) of the Act, 
an operator may destroy records and books of account 
required to be kept under the Act if, 

(a) the records and books of account relate to a 
fiscal year of the operator that ended not 
later than sixt>' months before the beginning 
of the fiscal year during which the records or 
books of account will be destroyed; 

(b) the records and books of account are for a 
period for which all returns required under 
the Act have been filed and all tax assessed 
by the Minister has been paid; 

(c) the records and books of account are for a 
period for which there is no unresolved dis- 
pute concerning any tax payable by any per- 
son or to have been collected by the operator 
retaining the records and books of account, 
and for which the time limit for filing any 
Notice of Objection to any assessment of tax 
has expired; 

(d) any demand for the production of the records 
or books of account made by the Minister 
under section 5 or 6 of the Act has been met 
to the satisfaction of the Minister; and 

(e) written notice has not been given by the 
Minister to the operator requiring the reten- 
tion of the records or books of account. 
O. Reg. 14/89, s. 5. 

6. Sections 2 and 3 of this Regulation shall be 
deemed to have come into force on the 7th day of Jan- 
uary, 1988. 

5/89 



FREEDOM OF INFORMATION AND 
PROTECTION OF PRIVACY ACT, 1987 

O. Reg. 15/89. 

Disposal of Personal Information. 
Made — January 18th, 1989. 
Filed— January 19th, 1989. 



21 



420 O. Reg. 15/89 



THE ONTARIO GAZETTE 



O. Reg. 16/89 



REGULATION MADE UNDER THE 

FREEDOM OF INFORMATION AND 

PROTECTION OF PRIVACY ACT, 1987 

DISPOSAL OF PERSONAL INFORMATION 

1. In this Regulation, "Archives" means the 
Archives of Ontario. O. Reg. 15/89, s. 1. 

2. An institution may dispose of personal informa- 
tion only by transferring it to the Archives or by 
destroying it. O. Reg. 15/89, s. 2. 

3. Where personal information is in the custody or 
under the control of an institution, no person shall 
destroy it without the authorization of the head. 
O. Reg. 15/89, s. 3. 

4. — (1) Every head shall ensure that all reasonable 
steps are taken to protect the security and confiden- 
tiality of personal information that is to be destroyed, 
including protecting its security and confidentiality 
during its storage, transportation, handling and 
destruction. 

(2) Every head shall ensure that all reasonable steps 
are taken to protect the security and confidentiality of 
personal information that is to be transferred to the 
Archives, including protecting its security and con- 
fidentiality during its storage, transportation and 
handling. 

(3) In determining whether all reasonable steps are 
taken under subsection (1) or (2), the head shall con- 
sider the nature of the personal information to be 
destroyed or transferred. O. Reg. 15/89, s. 4. 

5. Every head shall take all reasonable steps to 
ensure that when personal information is to be 
destroyed, it is destroyed in such a way that it cannot 
be reconstructed or retrieved. O. Reg. 15/89, s. 5. 

6. — (1) Every head of an institution shall ensure 
that the institution maintains a disposal record setting 
out what personal information has been destroyed or 
transferred to the Archives and the date of that 
destruction or transfer. 

(2) The head shall ensure that the disposal record 
maintained under subsection (1) does not contain per- 
sonal information. O. Reg. 15/89, s. 6. 

5/89. 



ENVIRONMENTAL ASSESSMENT ACT 

O. Reg. 16/89. 
Exemption — ^Ministry of the 
Environment— MOE-3 1/1. 
Made — ^November 24th, 1988. 
Approved — ^November 24th, 1988. 
Filed— January 20th, 1989. 



ORDER MADE UNDER THE 
ENVIRONMENTAL ASSESSMENT ACT 

EXEMPTION— MINISTRY OF THE 
ENVIRONMENT— MOE-3 1/1 

Having received a request from the Regional Direc- 
tor, West Central Region, Ministry of the Environ- 
ment, that an undertaking, namely: 

The activity of managing the contaminated 
wastes which may be found in the soil and 
groundwater both in and around the property of 
Chemical Waste Management Limited at Site 7, 
Lot 6, Concession 9, Smithville Industrial Park, 
Township of West Lincoln, Regional Municipal- 
ity of Niagara; which management activities 
involve an ongoing securing and control of con- 
taminated wastes, destruction of secured PCB 
wastes, remediation of contaminated ground- 
water and bedrock and the offsite disposal of 
contaminated wastes which may not be suitable 
for destruction, 

be exempt from the application of the Act pursuant to 
Section 29; and 

Having been advised by the Regional Director, 
West Central Region, Ministry of the Environment, 
that if the undertaking is subject to the application of 
the Act, the following injury, damage or interference 
with the persons and property indicated will occur: 

A. The time which would be involved in pre- 
paring an Environmental Assessment and 
seeking approval under the Act would signi- 
ficantly delay the implementation of the 
undertaking exacerbating the following situ- 
ations: 

(i) Contaminants from the site have 
gained access to groundwater. An 
aquifer, located in close proximity to 
the site, is a source of water supply to 
local area residents. The aquifer has 
been contaminated, thereby poten- 
tially threatening the health of the 
local area residents, and impairing a 
resource which was being used as the 
sole source of water supply to the 
Community of Smithville; 

(ii) Surface and groundwater flows dis- 
charge to Spring Creek and then to 
Twenty Mile Creek, a major water- 
course in the area. Since contaminant 
inputs, such as PCBs bio-magnify 
through the food chain, failure to take 
action may result in the contamina- 
tion of the aquatic life of Spring Creek 
and Twenty Mile Creek; and 

(iii) Members of the public may be 
exposed to contaminants as the com- 
munity uses surrounding areas for 
recreational or other public activities. 



22 



O. Reg. 16/89 



THE ONTARIO GAZETTE 



421 



Having weighed such injury, damage or interfer- 
ence against the betterment of the people of the whole 
or any part of Ontario by the protection, conser\'ation 
and wise management in Ontario of the environment 
which would result from the undertaking being sub- 
ject to the application of the Act; 

The undersigned is of the opinion that it is in the 
public interest to order and orders that the undertak- 
ing is exempt from the application of the Act for the 
following reasons: 

A. The tasks involved in managing the contami- 
nated waste can be commenced immediately. 
This will result in minimizing the potential 
for the injur>- and damage which are cited 
above; 

B. The public and the Municipality are anxious 
that the undertaking be implemented as soon 
as possible to avoid further potential public 
exposure to, and offsite migration of, subsur- 
face contaminated wastes; 

C. The Ministr>' of the Environment and the 
Municipalit>' are negotiating an agreement 
with respect to how the cleanup and storage 
of PCB waste shall proceed, which when 
finalized will be filed with the public records 
maintained under Section 31 of the Act by 
the Environmental Assessment Branch of 
the Ministr\- of the Environment at its main 
office; 

D. A Liaison Committee with representatives 
from the local citizens has been established to 
monitor progress made in the cleanup up of 
the site and eventual disposal of the contami- 
nated wastes; and 

E. The various instructions, approvals and 
orders which may be issued under the 
Environmental Protection Act and the 
Ontario Water Resources Act will result in 
the management acti\'ities being carried out 
in a safe manner. 

This exemption is subject to the following terms and 
conditions: 

1. No wastes other than contaminated soil, 
water or other materials from the manage- 
ment activities being carried out under this 
Order shall be brought to the site. 

2. This undertaking involves the management 
of wastes, including: 

(a) Cleaning up the site and immediately 
surrounding area and bedrock; 

(b) Destro>'ing, by approved mobile 
incineration facilities, PCB waste 
stored at the site; 



(c) Decontaminating PCB contaminated 
soils and possibly bedrock and subse- 
quently redepositing them; 

(d) Storing, temporarily, in existing or 
new structures, any waste that carmot 
be destroj'ed or decontaminated on 
the property until it can be removed 
to other certified waste disposal sites 
when they become available; and 

(e) Offering first Right of acquisition of 
the propertj' to the Corporation of the 
Township of West Lincoln once the 
site has been restored to a clean condi- 
tion so that it may be used for the 
originally intended use. 

The principal activities associated with the 
undertaking include the following: 

(a) Acquisition, through ownership by 
the Province of the property formerly 
used by Chemical Waste Manage- 
ment Limited at the Smithville Site 
and acquisition of the right to use any 
necessary adjacent property; 

(b) Consolidation of the wastes, includ- 
ing: contaminated soils, contaminated 
equipment and materials associated 
with ongoing cleanup activities at the 
site; 

(c) Destruction of PCB wastes by means 
of approved facilities; 

(d) Construction and preparation of a 
waste water treatment facility for 
treatment of contaminated water, as 
an initial short term remedial activit>'; 

(e) Trial excavation of the bedrock and 
selection and implementation of the 
appropriate technolog\' for remedia- 
tion of the contaminated groundwater 
and bedrock; 

(f) Removal from the site of any wastes 
that cannot be destroyed or deconta- 
minated; and 

(g) Continuation of an appropriate 
groundwater monitoring program. 



4. This Order does not apply to: 

(a) The storage of liquid PCB wastes on 
the site after December 31st, 1989; 
and 

(b) The storage of solid PCB wastes on 
the site after July 3 1st, 1991. 



23 



422 O. Reg. 16/89 



THE ONTARIO GAZETTE 



O. Reg. 18/89 



5. The Liaison Committee referred to in reason 
D and the Municipal Council shall be con- 
sulted and kept advised with respect to the 
details of the undertaking as they are devel- 
oped and progress is made in their imple- 
mentation. 

6. The undertaking shall be monitored by the 
Ministry of the Environment and/or its 
agents to ensure that the waste management 
activities do not result in injury or damage to 
persons and property. 

7. A written report shall be prepared on the 
undertaking and updated annually over the 
period in which the contaminated wastes are 
managed. The report shall describe the 
activities and the results of the ongoing mon- 
itoring program and how the terms and con- 
ditions of this Order are being complied 
with. The report shall be submitted by the 
Regional Director, West Central Region of 
the Ministry of the Environment to the 
Director of Environmental Assessment 
Branch for filing in the public records. 

Exemption Order MOE-31 filed as O. Reg. 
370/86 is terminated and replaced hereby. 
O. Reg. 16/89. 

James Bradley 
Minister of the Environment 



5/89 



ENVIRONMENTAL ASSESSMENT ACT 

O. Reg. 17/89. 

Designation — Reclamation Systems Inc. 

Made — ^January 12th, 1989. 

Filed— January 20th, 1989. 



REGULATION MADE UNDER THE 
ENVIRONMENTAL ASSESSMENT ACT 

DESIGNATION— RECLAMATION SYSTEMS 
INC. 

L In this Regulation, "proponent" means Recla- 
mation Systems Inc. or any person related to Reclama- 
tion Systems Inc. by ownership or in a contractual 
relationship with it in respect of the undertaking 
described in section 2. O. Reg. 17/89, s. 1. 

2. The enterprise or activity by the proponent of 
disposing of waste in the Acton quarry of United 
Aggregate Ltd. located on part of Lot 23, Concession 3 
and parts of lots 23 and 24, Concession 4, Town of 
Halton Hills, in The Regional Municipality of Halton, 
is defined as a major commercial or business enter- 



prise or activity and is designated as an undertaking to 
which the Act applies. O. Reg. 17/89, s. 2. 

5/89 



ENVIRONMENTAL ASSESSMENT ACT 

O. Reg. 18/89. 

Exemption — ^Ministry of Government 

Services— MGS-93. 
Made — ^January 12th, 1989. 
Approved — ^January 12th, 1989. 
Filed— January 20th, 1989. 



ORDER MADE UNDER THE 
ENVIRONMENTAL ASSESSMENT ACT 

EXEMPTION— MINISTRY OF GOVERNMENT 
SERVICES— MGS-93 

Having received a request from the Ministry of 
Government Services that an undertaking, namely: 

The activities involved in designing, construct- 
ing, operating and maintaining a kitchen and din- 
ing facility at the Mimico Correctional Centre, 
which is located at a site that is legally referred to 
as Part lots 1, 2 and 3 and 16 to 19, Part of Main 
Street, Registered Plan 339, City of Etobicoke, 
Municipality of Metropolitan Toronto, 

be exempt from the application of the Act pursuant to 
Section 29; and 

Having been advised by the Ministry of Govern- 
ment Services that if the undertaking is subject to the 
application of the Act, the following injury, damage or 
interference with the persons and property indicated 
will occur: 

A. The Ministry of Government Services will be 
interfered with and damaged by the undue 
delay and expense required to prepare an 
environmental assessment for an activity for 
which adverse environmental impacts have 
not been identified; and 

B. The Ministry of Correctional Services will be 
interefered with and damaged in that the lev- 
els of efficiency and service are diminished 
by the inadequacies of the existing facilities. 

Having weighed such injury, damage or interfer- 
ence against the betterment of the people of the whole 
or any part of Ontario by the protection, conservation 
and wise management in Ontario of the environment 
which would result from the undertaking being sub- 
ject to the application of the Act; 

The undersigned is of the opinion that it is in the 
public interest to order and orders that the undertak- 



24 



O. Reg. 18/89 



THE ONTARIO GAZETTE 



O. Reg. 20/89 423 



ing is exempt from the application of the Act for the 
following reeisons: 

A. The proposed undertaking will have no sig- 
nificant adverse effects on the environment; 

B. The proposed use is permitted under the 
Official Plan and zoning by-laws; 

C. The proposed undertaking will not necessi- 
tate the acquisition of any additional prop- 
erty-; 

D. All municipal services are available at the 
site for the proposed undertaking, and its 
implementation will not overtax the existing 
infrastructure; and 

E. The proposed undertaking merely serves to 
replace less than adequate kitchen and din- 
ing facilities. 

This exemption is subject to the following terms and 
conditions: 

1. Where any activity which otherwise would 
be exempt under this order is being carried 
out as or is part of an undertaking for which 
an environmental assessment has been 
accepted and approval to proceed received, 
the activity shall be carried out in accordance 
with any terms or conditions in the approval 
to proceed as well as the conditions of this 
order. 

2. Where any activity which is the subject of 
this order is being carried out as or is part of 
another undertaking which is the subject of 
an exemption order under the Act, the activ- 
ity exempt under this order shall be carried 
out in accordance with any terms or condi- 
tions in the other exemption order as well as 
the conditions in this order. 

3. The order shall expire if construction activi- 
ties have not commenced by December 3 1st, 
1989. O. Reg. 18/89. 

Dated this 12th day of January, 1989. 

James Bradley 
Minister of the Environment 



5/89 



HIGHWAY TRAFFIC ACT 

O. Reg. 19/89. 

Stop Signs in Territon»- Without 

Municipal Organization. 
Made — January 18th, 1989. 
Filed— Januan. 20th, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 574/81 

MADE UNDER THE 

HIGHWAY TRAFFIC ACT 

1. Ontario Regulation 574/81 is amended 
by adding thereto the following 
Schedule: 

Schedule 71 

1. The roadway known as Cutler Lake Road in the 
Unorganized Municipahty of McKinnon in the Ter- 
ritorial District of Sudbur> at its intersection with the 
roadway known as Moose Lake Road. 

2. Eastbound on Cutler Lake Road. O. Reg. 
19/89, s. 1. 

Hugh P. O'Neil 
for Minister of Transportation 

Dated at Toronto, this 18th day of Januar>-, 1989. 



5/89 



HIGHWAY TRAFFIC ACT 

(). Reg. 20/89. 

Parking. 

Made— Januarv- 18th, 1989. 

Filed — Januar>- 20th. 1989. 



REGULATION TO AMEND 

REGULATION 477 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

HIGHWAY TRAFFIC ACT 

1. Schedule 2 of Appendix A to Regula- 
tion 477 of Revised Regulations of 
Ontario, 1980, as last amended by sec- 
tion 1 of Ontario Regulation 631/86, is 
further amended by adding thereto the 
foil ov\ ing paragraph: 

28. On the south side of the King's Highway known 
as No. 2 in the Town of Pickering in The Regional 
Municipality of Durham beginning at a point situate at 
its intersection with the easterly limit of the roadway 
known as Rosebank Road and extending easterly for a 
distance of 250 metres. 

2. Schedule 56 of Appendix A to the said 
Regulation, as last amended by section 
3 of Ontario Regulation 631/86, is 
further amended by adding thereto the 
following paragraph: 



25 



424 O. Reg. 20/89 



THE ONTARIO GAZETTE 



O. Reg. 21/89 



4. That part of the King's Highway known as No. 
53 in the Town of Ancaster in The Regional Munici- 
pality of Hamilton-Wentworth lying between a point 
situate at its intersection with the easterly limit of the 
roadway known as Southcote Road (Hamilton- 
Wentworth Road 248) and a point situate 60 metres 
measured easterly from its intersection with the east- 
erly limit of the roadwa>- known as Kitty Murray 
Lane/Smith Road. 

3. Paragraph 1 of Schedule 85 of Appen- 
dix A to the said Regulation, as made 
by section 2 of Ontario Regulation 
381/88, is revoked and the following 
substituted therefor: 

1. That part of the King's Highway known as No. 
43 in the Township of O.xford in the County of Leeds 
and Grenville beginning at a point situate 30 metres 
measured easterly from its intersection with the road- 
way known as North James Street and extending east- 
erly for a distance of 200 metres. 

Hugh P. O'Neil 

for Minister of Transportation 

Dated at Toronto, this 18th day of January, 1989. 
5/89 



HIGHWAY TRAFFIC ACT 



(). Reg. 21/89. 

Speed Limits. 

Made — January 18th, 1989. 

Filed — January 20th, 1989. 



REGULATION TO AMEND 

REGULATION 490 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

HIGHWAY TRAFFIC ACT 

I. Paragraph 29 of Part 5 of Schedule 1 
to Regulation 490 of Revised Regula- 
tions of Ontario, 1980 is revoked and 
the following substituted therefor: 



Kent— 

Twp. of 
Chatham 



29. That part of the King's Highway known 
as No. 2 in the Township of Chatham in 
the County of Kent lying between a 
point situate 120 metres measured east- 
erly from its intersection with the centre 
line of the roadway known as Devon- 
shire Road and a point situate 1135 
metres measured easterly from its inter- 
section with the centre line of the road- 
way known as Kent Road No. 30 (Prince 
Albert Road). 



2.— (1) Paragraph 25 of Part 4 of 
Schedule 6 to the said Regulation, as 
made by section 1 of Ontario Regula- 
tion 344/82, is revoked. 

(2) Part 5 of the said Schedule 6, as last 
amended by section 1 of Ontario Reg- 
ulation 3/88, is further amended by 
adding thereto the following para- 
graph: 



Regional 
Munici- 
pality of 
York — 

Town of 
Markham 



29. That part of the King's Highway known 
as No. 7 in the Town of Markham in 
The Regional Municipality of York 
lying between a point situate 795 metres 
measured westerly from its intersection 
with the centre of the Canadian Pacific 
Railway right-of-way and a point situate 
145 metres measured westerly from the 
centre of the said right-of-way. 



Paragraph 1 of Part 5 of Schedule 32 
to the said Regulation, as remade by 
section 6 of Ontario Regulation 
651/87, is revoked and the following 
substituted therefor: 



Simcoe- 

Twp. of 
Nottawasaga 



1. That part of the King's Highway known 
as No. 24 in the Township of Not- 
tawasaga in the County of Simcoe 
beginning at a point situate 305 metres 
measured southerly from its intersection 
with the centre line of the King's High- 
way known as No. 91 and extending 
northerly for a distance of 1021 metres. 



4.— ( 1 ) Paragraph 3 of Part 4 of Schedule 
50 to the said Regulation, as remade by 
section 2 of Ontario Regulation 
382/85, is revoked. 

(2) Part 5 of the said Schedule 50 is 
amended by adding thereto the fol- 
lowing paragraph: 



Kent — 

Twp. of 
Chatham 



That part of the King's Highway known 
as No. 40 in the Township of Chatham 
in the County of Kent lying between a 
point situate 70 metres measured west- 
erly from its intersection with the centre 
line of the roadway known as Walnut 
Drive and a point situate 100 metres 
measured westerly from its intersection 
with the centre line of the structure 
known as the Skinner Municipal Drain 
bridge. 



5. — ( 1 ) Paragraph 3 of Part 3 of Schedule 
128 to the said Regulation, as remade 
by section 3 of Ontario Regulation 
626/85, is revoked. 



26 



O. Reg. 21/89 



THE ONTARIO GAZETTE 



O. Reg. 22/89 425 



(2) Paragraph 1 of Part 4 of the said 
Schedule 128, as remade by section 3 
of Ontario Regulation 626/85, is 
revoked and the following substituted 
therefor: 



Rfgional 
Munici- 
pality of 
Sudbury- 

Tow n of 
Rayside- 
Balfour 



That part of the King's Highway known 
as Xo. 144 in the hamlet of Chelmsford 
in the Town of Rayside- Balfour in The 
Regional Municipality of Sudbur>- l>ing 
between a point situate at its intersection 
with the northerly limit of the roadway 
known as Regional Road 35 and a point 
situate 500 metres measured northerly 
from its intersection with the centre line 
of the roadway known as Omer Street. 



Twp. of 
Crerar 



City of 
Windsor 



6. Paragraph 1 of Part 6 of Schedule 158 
to the said Regulation, as remade by 
section 3 of Ontario Regulation 
677/82, is revoked and the following 
substituted therefor: 

1. That part of the Kings Highway known 
District of as Xo. 539A in the hamlet of River Val- 
\ipissing — ley in the Township of Crerar in the 
Territorial District of Xipissing lying 
between a point situate 728 metres mea- 
sured northerly from its intersection 
with the northerly limit of the King's 
Highway known as Xo. 539 and a point 
situate 200 metres measured southerly 
from its intersection with the southerly 
limit of the structure over the water- 
course known as the Temagami River. 

7. Paragraph 1 of Part 1 of Schedule 245 
to the said Regulation, as made by sec- 
tion 3 of Ontario Regulation 190/83, is 
revoked and the following substituted 
therefor: 

1 . That part of the King's Highway known 
Ksscx — as the E. C. Row Expressway in the 

City of Windsor in the County of Essex 
lying between a point situate 800 metres 
measured easterly from its intersection 
with the centre line of the roadway 
known as Lauzon Parkway and a point 
situate 360 metres measured westerly 
from its intersection with the centre line 
of the roadway known as Huron Church 
Road. 

8. The said Regulation is amended by 
adding thereto the following Schedule: 

Schedule 263 

HIGHWAY NO. 607A 

Part 1 
(Reserved) 



Part 2 
(Reserved) 

Part 3 
(Reserved) 

Part 4 
(Reserved) 

Part 5 
(Reserved) 

Part 6 

1. That part of the King's Highway known 
as Xo. 607A in the hamlet of French 
River in the Township of Bigwood in 
the Territorial District of Sudbur>- 
beginning at a point situate at the south- 
erly limit of the said highway and 
extending northerly for a distance of 525 
metres. O. Reg. 21/89, s. 8. 

Hugh P. O'Xeil 
for Minister of Transportation 



Dated at Toronto, this 18th day of January, 1989. 



District of 
Sudbur>- — 

Twp. of 
Bigwood 



5/89 



DANGKROUS GOODS 
TRANSPORTATION ACT, 1981 

O. Reg. 22/89. 

General. 

Made— January 18th, 1989. 

Filed — January 20th, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 363/85 

MADE UNDER THE 

DANGEROUS GOODS 

TRANSPORTATION ACT, 1981 

1. Section 7 of Ontario Regulation 363/85 
is amended by striking out "or" at the 
end of clause (a), by adding "or" at the 
end of clause (b) and by adding thereto 
the following clause: 

(c) in a vehicle operated by or on behalf of the 
province, a municipality or other authority 
having jurisdiction and control of a highway 
where the vehicle is engaged in. 



27 



426 O. Reg. 22/89 



THE ONTARIO GAZETTE 



O. Reg. 24/89 



(i) collecting abandoned or spilled mat- 
erials from the highway, or 

(ii) transporting dangerous goods from a 
highway to a storage or disposal site 
after a dangerous occurrence as 
defined in paragraph 9. 1 (a) of Part 
IX of the Federal Regulations. 

2. Section 8 of the said Regulation is 
revoked and the following substituted 
therefor: 

8. — (1) Subject to subsection (2), every person who 
transports dangerous goods on a highway shall carry 
with an insurer licensed under the Insurance Act 
motor vehicle liability insurance in an amount of not 
less than ,S2,000,000 for each motor vehicle or combi- 
nation of vehicles used to transport dangerous goods, 

(a) of a type set out in Column 1 of Schedule XII 
to the Federal Regulations; 

(b) in a quantit\- for such type as set out in sec- 
tion 7.18 of Part VII of the Federal Regula- 
tions; and 

(c) in a manner referred to in section 7. 16 of Part 
VII of the Federal Regulations. 

(2) A person who transports dangerous goods on a 
highway and who is not a resident of Ontario may 
carry the insurance required by subsection (1) with an 
insurer who is authorized to transact the insurance in 
the state or province in which the owner or operator 
resides, if the insurer files with the Registrar of Motor 
Vehicles, 

(a) a power of attorney authorizing the Registrar 
to accept service of notice or process for the 
insurer and the insured in any action or pro- 
ceeding arising out of a motor vehicle acci- 
dent in Ontario; 

(b) an undertaking to appear in any action or 
proceeding arising out of a motor vehicle 
accident in Ontario of which it has know- 
ledge; 

(c) an undertaking not to set up as a defence to 
any claim, action or proceeding under a 
motor vehicle liability policy issued by it a 
defence that could not be set up if the policy 
had been issued in Ontario in accordance 
with the law of Ontario relating to motor 
vehicle liability policies; and 

(d) an undertaking to satisfy up to $2,000,000 
any judgment rendered and become final 
against the insurer or the insured by a court 
in Ontario in any such action or proceed- 
ing. O. Reg. 22/89, s. 2. 



5/89 



HIGHWAY TRAFFIC ACT 

O. Reg. 23/89. 

Commercial Vehicle Operator's Registration 

Certificates. 
Made — ^January 18th, 1989. 
Filed— January 20th, 1989. 



REGULATION MADE UNDER THE 
HIGHWAY TRAFFIC ACT 

COMMERCIAL VEHICLE OPERATOR'S 
REGISTRATION CERTIFICATES 

1. The following fees shall be paid to the Ministry 



for: 



1. A replacement copy of a CVOR certifi- 
cate that has been lost or destroyed $5 . 00 

2. An uncertified copy of an operator's 
CVORrecord 5.00 

3. A certified copy of an operator's CVOR 
record 10.00 

O. Reg. 23/89, s. 1. 



5/89 



PUBLIC COMMERCIAL VKHICLKS ACT 



O. Reg. 24/89. 
Section 10b — Certificates. 
Made— January 18th, 1989. 
Filed — January 20th, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 172/86 

MADE UNDER THE 

PUBLIC COMMERCIAL VEHICLES 

ACT 

1. Ontario Regulation 172/86 is amended 
by adding thereto the following section: 

1 1 . — ( 1 ) For licences issued under section 1 Ob of the 
Act that are deemed by section 42 of the Truck Trans- 
portation Act, 1988 to be operating licences for the 
purpose of that Act, sections 1 and 2 of this Regula- 
tion, as amended by sections 1 and 2 of Ontario Regu- 
lation 291/87, and section 5 and subsections 6 (2), 6 (3), 
6 (4), 6 (5), 6 (6) and 9 (6) of this Regulation apply with 
the changes set out in subsections (2), (3) and (4). 

(2) In section 1 of this Regulation, the definition of, 



28 



O. Reg. 24/89 



THE ONTARIO GAZETTE 



O. Reg. 25/89 427 



(a) "between" is changed by substituting 
"operating authority" for "licence"; 

(b) "certificate" is deleted; 

(c) "Household Goods Carrier" is changed by 
substituting "an operating authority" for "a 
licence"; and 

(d) "licence" is changed by substituting "rewrit- 
ten under section 10b of the Act" for "unless 
the context indicates a different meaning". 

(3) In section 2 of this Regulation. 

(a) subsection (1) is changed by substituting 
"operating authorities" for "licences"; and 



(b) subsection 
"described 

10 (2) (d)". 



(14) is changed by 
in subsection 9 (4) « 



deleting 
r clause 



(4) In section 6 of this Regulation, subsections (2). 
(3), (4), (5) and (6) are changed by substituting 
"licence" for "certificate" even.- time it appears. 

(5) Except as otherwise specifically indicated, refer- 
ence to a STCC number, as defined in the Truck 
Transportation Act, 1988, in a licence issued under 
section 10b of the Public Commercial Vehicles Act and 
deemed to be an operating licence for the purpose of 
the Truck Transportation Act, 1988 includes all articles 
whose STCC number begins with the STCC number 
referred to. 

(6) An abbreviation in a licence issued under section 
10b of the Public Commercial Vehicles Act and 
deemed to be an operating licence for the purpose of 
the Truck Transportation Act, 1988 has the meaning 
attributed to it in the STCC, as defined in the Truck 
Transportation Act, 1988. O. Reg. 24/89, s. 1. 

2. This Regulation comes into force on 
the 30th day of Januar> , 1989. 

5/89 



TRUCK TRANSPORTATION ACT, 1988 

O. Reg. 25/89. 

Operating Licences. 
Made— January 18th, 1989. 
Filed— January 20th, 1989. 



REGULATION MADE UNDER THE 
TRUCK TRANSPORTATION ACT, 1988 



I.— (1) In 
authority. 



OPERATING LICENCES 
this Regulation and in an operating 



"bulk goods" means goods that can be scooped, 
poured, pumped or shovelled and are loaded, 
transported and delivered in bulk quantities; 

"dump vehicle" means a commercial motor vehicle, 
trailer or semi-trailer, other than a tilt'n load vehi- 
cle, tank vehicle or hopper vehicle that discharges 
its load either by means of a mechanical conveyor 
system that is part of the vehicle or by tilting the 
container; 

"geographic area" includes a point, place or highway 
but does not include a location outside Ontario; 

"goods" does not include, 

(a) uncrated furniture, appliances and personal 
effects transported as part of a relocation of a 
household, 

(b) vehicles and boats moved as part of a reloca- 
tion of a household, or 

(c) uncrated new vehicles; 

"hopper vehicle" means a commercial motor vehicle, 
trailer or semi-trailer that discharges its load 
through a bottom opening without tilting or dump- 
ing but does not include a tank vehicle; 

"household goods" means, 

(a) furniture, appliances and personal effects 
transported as part of the relocation of a 
household and includes vehicles and boats 
moved as part of the same household, 

(b) uncrated furniture and equipment trans- 
ported to an office, store, factory, commer- 
cial establishment, museum, hospital or pub- 
lic institution to be furnishings therein, 

(c) stCKk-in-trade moved as part of the reloca- 
tion of an office, store or commercial estab- 
lishment, and 

(d) objects of art, displays, exhibits, computers 
and electronic devices that require special- 
ized handling; 

"Household Goods Carrier" means the holder of an 
operating authority for the carriage of household 
goods while operating the business of a household 
goods mover; 

"new vehicle" means 37 11 111 — motor passenger or 
air cars, assembled, 37 112 — motor trucks or truck 
tractors, assembled, for which a permit other than 
a temporary permit has not been issued under sec- 
tion 7 of the Highway Traffic Act or a comparable 
legislative provision in another jurisdiction; 

"Northern Ontario" means the districts of Rainy 
River, Kenora, Thunder Bay, Sudbury, Manitou- 
lin, Algoma, Cochrane, Timiskaming, Nipissing 



29 



428 



THE ONTARIO GAZETTE 



O. Reg. 25/89 



and Parry Sound, The District Municipality of 
Muskoka and The Regional Municipality of Sud- 
bury; 

"place of business", in relation to a household goods 
mover, means a terminal, warehouse, office or 
garage at which a licensee or an employee or agent 
of a licensee reports for work and performs regular 
service; 

"specialized equipment" means, 

(a) a tilt'n load vehicle, or 

(b) an unenclosed commercial vehicle, trailer or 
semi-trailer with a load-bearing surface that 
is not more than 1.22 metres above the road 
surface; 

"tank vehicle" means a commercial motor vehicle, 
trailer or semi-trailer that has attached to the chas- 
sis, deck or body thereof an enclosed container, 

(a) capable of being used for the storage of 2.3 
kilolitres of bulk goods during transportation 
on the highway, and 

(b) constructed so that the area of all apertures 
giving access to the bulk goods is no more 
than 5 per cent of the external area of the 
enclosed container; 

"unenclosed vehicle" includes a vehicle or part thereof 
equipped with a tarpaulin or other removable 
cover. 

(2) This Regulation applies only to operating 
licences issued under the Truck Transportation Act, 
1988 and not to operating licences issued under the 
Public Commercial Vehicles Act. O. Reg. 25/S9, 
s. 1. 

2. — (1) The following classes of operating authori- 
ties may be issued: 

1. General Freight. 

2. Tank Vehicle. 

3. Household Goods. 

4. Bulk. 

5 . Heavy and Specialized. 

6. Named Commodity. 

7. Interchange. 

8. Intermediary. 

9. Single-source. 
10. Owner-driver. 



(2) An operating authority shall be in a form set 
out in the Schedule and, except as provided for in the 
Act or this Regulation, shall not contain any, 

(a) additions; 

(b) deletions; 

(c) limitations; or 

(d) conditions, 

that restrict the operation of the licensee. 

(3) An Interchange operating authority authorizes 
the holder thereof to carry goods under an operating 
licence of an affiliated corporation so long as, 

(a) the affiliated corporation requires additional 
commercial motor vehicles; 

(b) the holder of the Interchange operating 
authority does not solicit business requiring 
the operation of a vehicle under the operat- 
ing licence of the affiliated corporation; 

(c) there is no reduction in the number of com- 
mercial motor vehicles registered under the 
Highway Traffic Act and operated under the 
Truck Transportation Act, 1988 in the name 
of the affiliated corporation; 

(d) the goods are carried pursuant to a bill of 
lading issued by the affiliated corporation; 

(e) the goods are carried in accordance with the 
terms of the affiliated corporation's operating 
licence; and 

(f) the holder of the Interchange operating 
authority and the affiliated corporation 
remain affiliated. 

(4) An operating authority that authorizes the car- 
riage of goods to or from a named geographic area in 
Ontario or between named geographic areas in 
Ontario authorizes the carriage of goods within the 
named geographic areas. 

(5) An operating authority that authorizes the car- 
riage of hogs to an assembly point of the Ontario Pork 
Producers Marketing Board authorizes the carriage of 
hogs to any other place at the direction of that Board. 

(6) If an operating authority indicates an origin 
and more than one destination for the carriage of 
goods, the goods may be carried to any place indicated 
as an origin or a destination. 

(7) Every operating authority authorizes the holder 
thereof who carries the goods to carry to the consignor 
or as directed by the consignor, 

(a) the goods that have been rejected or returned 
by the consignee; and 



30 



O. Reg. 25/89 



THE ONTARIO GAZETTE 



429 



(b) empty containers with a capacity not in 
excess of thirt>- cubic metres, empt>' pallets 
and other packing materials previously used 
to convey the goods. 

(8) Goods described in clause (a) of the definition of 
"household goods" may be carried only under the 
authority of a Household Goods operating authority. 
O. Reg. 25/89, s. 2. 

3. An applicant for a Household Goods operating 
authority that authorizes carriage to all points in 
Ontario shall provide the Ministry with the applicant's 
place or places of business. O. Reg. 25/89, s. 3. 

4. — (1) The use of a tank vehicle is authorized by 
an operating authority only when the authority so stip- 
ulates. 

(2) The carriage of new vehicles is authorized by 
an operating authority only when the authority so stip- 
ulates. 

(3) Despite subsection (2), a Heavy and Specialized 
operating authority authorizes the holder to carry new 
vehicles other than those commonly known as passen- 
ger cars, station wagons, vans and pick-up trucks. 
O. Reg. 25/89, s. 4. 

5. — (1) Reference in an operating authority to a 
city, town, village or township or similar geographic 
area in a regional municipality, chstrict municipality 
or The Municipality of Metropolitan Toronto has the 
same meaning as it does in the Municipal Act. 

(2) Reference to any district, district municipality 
or regional municipality in Northern Ontario in an 
operating authority has the same meaning as it does in 
the Municipal Act. 

(3) The term "between" in an operating authority 
means that the origin and destination of the goods car- 
ried must be in the named geographic areas. 

(4) Reference to a township in an operating author- 
ity does not include the cities, towns and villages 
within the township. 

(5) Reference to a county in an operating authority 
includes all municipalities within the county. 

(6) Reference to a regional municipality, district 
municipalit>' or The Municipality of Metropolitan 
Toronto includes all the area municipalities therein. 

(7) Reference to any district, district municipality 
or regional municipality in Northern Ontario in an 
operating authority does not include, 

(a) the cities of North Bay, Sault Ste. Marie, 
Sudbury, Thunder Bay and Timmins; or 

(b) the towns of Bracebridge, Cochrane, Dry- 
den, Elliot Lake, Espanola, Fort Frances, 
Gravenhurst, Haileybury, Hearst, Hunts- 



ville, Iroquois Falls, Kapuskasing, Kenora, 
Kirkland Lake, New Liskeard, Nickle Cen- 
tre, Onaping Falls, Pany- Sound, Rayside- 
Balfour, Sturgeon Falls, Valley East and 
Walden. 

(8) Reference to "px)ints in Ontario" in an operating 
authority includes any point in Ontario. O. Reg. 

25/89, s. 5. 

6. — (1) All references in an operating authorit>' to 
commodities, other than new vehicles or road con- 
struction materials, shall be in the terms by which 
they are described in the STCC and shall include the 
STCC number. 

(2) Except as otherwise specifically indicated, ref- 
erence to a STCC number in an operating authority 
includes all articles whose STCC number begins with 
the STCC number referred to. 

(3) An abbreviation in an operating authority has 
the meaning attributed to it in the STCC. O. Reg. 

25/89, s. 6. 



NOTICE OF CONTR.\CT 

7. The holder of an Owner-driver authority' or Sin- 
gle-source authority shall file with the Registrar a 
notice of contract containing, 

(a) the name, address and CVOR certificate 
number of the licensee; 

(b) the name, address and CVOR certificate 
number of the other party to the contract; 

(c) the number of the permit or permits issued 
under subsection 7 (3) of the Highway Traffic 
Act or compîu-able legislative provision of 
another jurisdiction for the commercial vehi- 
cle or vehicles to be operated under the con- 
tract; 

(d) the date of execution of the contract; 

(e) the date on which the contract is to become 
effective; 

(f) the date on which the contract is to expire; 
and 

(g) an authorized signature on behalf of the 
licensee. O. Reg. 25/89, s. 7. 



FEES 

8. The following fees shall be paid: 

1. To file an application for an operating 

licence or an amended operating licence. $250 



2 . For a trip permit . 



100 



31 



430 



THE ONTARIO GAZETTE 



O. Reg. 25/89 



To file an application for an initial cer- 
tifîcate of intercorporate exemption $ 100 



To file an amendment to a certificate of 
intercorporate exemption adding or 
deleting an affiliated corporation or 
corporations 



To file an application for a certificate of 
competency 



50 



25 



6. To file an application for the replace- 
ment of an operating licence, a vehicle 
certificate, certificate of competency, 
trip permit or certificate of intercorpo- 
rate exemption 5 

7. To file a request for a public interest 
hearing 250 

8. To obtain a copy of any document filed 
in the Ministry or any statement con- 
taining information from the records 5 

9. To obtain a certified copy of any docu- 
ment filed in the Ministry or any state- 
ment containing information from the 
records 10 

10. To file an application for a temporary 
operating licence 150 

11. To file an application for a special oper- 
ating authority 100 

12. To file an application for bill of lading 
exemption 100 

O. Reg. 25/89, s. 8. 

9. This Regulation comes into force on the 30th 
day of January, 1989. 

Schedule 

FORMS OF OPERATING AUTHORITIES 

General Freight 

For the carriage of goods to or from/bet- 
ween/within (geographic areas). 



Tank Vehicle 



For the carriage of goods in tank vehicles 
only to or from/between/within (geographic 
areas). 

For the carriage of (commodity) in tank vehi- 
cles only to or from/between/within (geo- 
graphic areas). 

For the carriage of goods in tank vehicles 
only for and on behalf of (named consignor 
or consignee) between points in Ontario. 



Household Goods 



Bulk 



For the carriage of household goods between 
points in Ontario, provided that the licensee 
has a place or places of business only at (geo- 
graphic areas). 

For the carriage of household goods to or 
from/between/within (geographic areas). 



For the carriage of bulk goods in dump or 
hopper equipment only to or from/between/ 
within (geographic areas). 



Heavy and Specialized 



For the carriage of goods on specialized 
equipment only to or from/between/within 
(geographic areas). 



Named Commodity 



For the carriage of (named commodity or 
new vehicles) to or from/between/within 
(geographic areas). 

For the carriage of new vehicles for and on 
behalf of (named consignor or consignee) 
between points in Ontario. 

For the carriage of goods for and on behalf of 
(named consignor or consignee) between 
point in Ontario. 

For the carriage of road construction materi- 
als to or from/between/within (geographic 
areas) provided no more than com- 
mercial motor vehicles be so operated. 



Interchange 



For the carriage of goods under the authority 
of the operating licence(s) held by the follow- 
ing affiliated corporation(s). 



Intermediary 



For the arranging of transportation services 
for compensation by a person licensed to con- 
duct such transportation. 



Single-source 



For the provision under contract of drivers 
and commercial vehicles owned or leased by 
the licensee. 

For the provision under contract of drivers 
and commercial vehicles owned or leased by 
the licensee, provided that no more than a 

total of commercial vehicles be so 

operated under all such contracts. 



32 



O. Reg. 25/89 



THE ONTARIO GAZETTE 



O. Reg. 26/89 431 



Chvner-driver 

For the provision under contract of a driver 
and one commercial vehicle owned or leased 
by the licensee 

(Where the form provides for the insertion of "to or 
from/between/within" or "and/or" strike out phrases 
which are not appropriate.) 



O. Reg. 25/89, Sched. 



5/89 



TRUCK TRANSPORTATION ACT, 1988 

O. Reg. 26/89. 

Conditions of Carriage — General Freight 

Carriers. 
Made— January 18th, 1989. 
Filed— January 20th, 1989. 



REGULATION MADE UNDER THE 
TRUCK TRANSPORTATION ACT, 1988 

CONDITIONS OF CARRIAGE— GENERAL 
FREIGHT CARRIERS 

1. Subsection 19 (1) of the Act does not apply to 
holders of authorities which permit the transportation 
of road construction materials, 40-garbage, waste or 
scrap, 01 919 60-sod, 11-coal or 24 211-lumber, rough 
or dressed. O. Reg. 26/89, s. 1. 

2. A bill of lading issued by a holder of an operat- 
ing licence, except when issued in respect of a ship- 
ment of 01 41-livestock or 01 92-aminal specialties or 
when issued by the holder of a Household Goods oper- 
ating authority, shall be identified by a numerical or 
alpha-numerical code and shall contain, 

(a) the name of the consignor; 

(b) the name and address of the consignee; 

(c) the originating point of the shipment; 

(d) the destination of the shipment; 

(e) the date of the shipment; 

(f) the name of the originating carrier issuing 
the bill of lading; 

(g) the names of connecting carriers, if any; 

(h) the particulars of the goods comprising the 
shipment; 

(i) a space to show the declared valuation of the 
shipment, if any; 



(j) information as to whether the charges are 
prepaid or collect; 

(k) a space to show whether the C.O.D. fee is 
prepaid or collect; 

(1) a space to show the amount to be collected 
by the carrier on a C.O.D. shipment; 

(m) a space to note any special agreement 
between consignor and carrier; 

(n) a statement to indicate that the uniform con- 
ditions of carriage apply; 

(o) a statement of the notice of claim require- 
ments in the uniform conditions of carriage; 
and 

(p) if applicable, a statement, in conspicuous 
form, that the carrier's liability is limited by 
a term or condition of the schedule of rates or 
by other agreement. O. Reg. 26/89, s. 2. 

3. — (1) The consignor shall plainly mark each arti- 
cle covered by a bill of lading referred to in section 2 , 
the name of the consignee and the destination of such 
article. 

(2) Subsection (1) does not apply if the article is 
part of a truckload shipment from one consignor to 
one consignee. O. Reg. 26/89, s. 3. 

4. A waybill shall bear the same numerical or 
alpha-numerical identification code as the original bill 
of lading and shall show the name of the consignor, 
the name of the consignee, the originating point of 
shipment, the destination of the shipment, connecting 
carriers, if any, particulars of the goods and informa- 
tion as to whether the chîirges are prepaid or collect. 
O. Reg. 26/89, s. 4. 

5. — (1) The conditions set out in the Schedule shall 
be deemed to be a part of every contract for the car- 
riage of goods for compensation. 

(2) Subsection (1) does not apply to contracts for 
the carriage of 01 41-livestock, 01 92-animal special- 
ties, goods listed under the Household Goods classifi- 
cation of operating licences or to contracts between an 
intermediary and a consignor for the carriage of 
goods. O. Reg. 26/89, s. 5. 

6. This Regulation comes into force on the 30th 
day of January, 1989. 



Schedule 

1 . Liability of Carrier 

The carrier of the goods herein described is 
liable for any loss of or damage to goods 
accepted by the carrier or the carrier's agent 
except as hereinafter provided. 



33 



432 



THE ONTARIO GAZETTE 



O. Reg. 26/89 



2 . Liability of Originating and Delivering Car- 
riers 

Where a shipment is accepted for carriage by 
more than one carrier, the carrier who issues 
the bill of lading (hereinafter called the origi- 
nating carrier) and the carrier who assumes 
responsibility for delivery to the consignee 
(hereinafter called the delivering carrier), in 
addition to any other liability hereunder, are 
liable for any loss of or damage to the goods 
while they are in the custody of any other 
carrier to whom the goods are delivered and 
from which liability the other carrier is not 
relieved. 

3 . Recovery from Connecting Carriers 

i. The originating carrier or the deliver- 
ing carrier, as the case may be, is enti- 
tled to recover from any other carrier 
to whom the goods are delivered the 
amount that the originating carrier or 
delivering carrier, as the case may be, 
is required to pay for the loss of or 
damage to the goods while they were 
in the custody of such other carrier. 

ii. If there is concealed damage and the 
goods were interlined between carri- 
ers so that it is not clear as to who had 
custody of the goods when they were 
damaged, the originating carrier or 
delivering carrier, as the case may be, 
is entitled to recover from each of the 
interlined carriers an amount pro- 
rated on the basis of each carrier's 
revenue for carriage of the damaged 
goods. 

4. Remedy by Consignor or Consignee 

Nothing in Article 2 or 3 deprives a con- 
signor or consignee of any rights the con- 
signor or consignee may have against any 
carrier. 

5 . Exceptions from Liability 

The carrier shall not be liable for loss, dam- 
age or delay to any of the goods described in 
the bill of lading caused by an act of God, the 
Queen's or public enemies, riots, strikes, a 
defect in the goods, an act or default of the 
consignor, owner or consignee, authority of 
law, quarantine or difference in weights of 
grain, seed or other commodities caused by 
natural shrinkage. 

6. Delay 

No carrier is bound to carry goods by any 
particular public truck or in time for any 
particular market or otherwise than with due 
dispatch, unless by agreement that is specifi- 



cally endorsed on the bill of lading and 
signed by the parties. 

7. Routing by Carrier 

If the carrier forwards the goods by a con- 
veyance that is not a public truck, the liabil- 
ity of the carrier is the same as though the 
entire carriage were by public truck. 

8. Stoppage in Transit 

If goods are stopped and held in transit at the 
request of the party entitled to so request, the 
goods are held at the risk of that party. 

9. Valuation 

Subject to Article 10, the amount of any loss 
or damage for which the carrier is liable, 
whether or not the loss or damage results 
from negligence, shall be the lesser of, 

i. the value of the goods at the place and 
time of shipment, including the 
freight and other charges if paid, and 

ii. $4.41 per kilogram computed on the 
total weight of the shipment. 

10. Declared Value 

If the consignor has declared a value of the 
goods on the face of the bill of lading, the 
amount of any loss or damage for which the 
carrier is liable shall be or shall not exceed 
the declared value. 

1 1 . Consignor's Risk 

i. If it is agreed that the goods are car- 
ried at the risk of the consignor, such 
agreement covers only such risks as 
are necessarily incidental to the car- 
riage and the agreement does not 
relieve the carrier from liability for 
any loss or damage or delay that 
results from the negligence of the car- 
rier or the carrier's agents or employ- 
ees. 

ii. The burden of proving absence of 
negligence shall be on the carrier. 

12. Notice of Claim 

i. No carrier is liable for loss, damage or 
delay to any goods carried under the 
bill of lading unless notice thereof set- 
ting out particulars of the origin, des- 
tination and date of shipment of the 
goods and the estimated amount 
claimed in respect of such loss, dam- 
age or delay is given in writing to the 
originating carrier or the delivering 



34 



O. Reg. 26/89 



THE ONTARIO GAZETTE 



433 



carrier within sixty days after deliver\- 
of the goods or, in the case of failure 
to make delivery, within nine months 
from the date of shipment. 

ii. The final statement of the claim must 
be filed within nine months from the 
date of shipment, together with a 
copy of the paid freight bill. 

13 . Articles of Extraordinary Value 

i. No carrier is bound to carry any docu- 
ments, specie or articles of extraordi- 
nar\- value unless by a special agree- 
ment to do so. 

ii. If such goods are carried without a 
special agreement and the nature of 
the goods is not disclosed on the bill of 
lading, the carrier shall not be liable 
for any loss or damage in excess of the 
maximum liability stipulated in Arti- 
cle 9. 

14. Freight Charges 

i. If required by the carrier, the freight 
and all other lawful charges accruing 
on the goods shall be paid before 
delivery. 

ii. If upon inspection it is ascertained 
that the goods shipped are not those 
described in the bill of lading, the 
freight charges must be paid upon the 
goods actually shipped with any addi- 
tional charges lawfully payable 
thereon. 

iii. If a consignor does not indicate that a 
shipment is to move prepaid, or does 
not indicate how the shipment is to 
move, it will automatically move on a 
collect basis. 

1 5 . Dangerous Goods 

Ever>- person, whether as principal or agent, 
shipping dangerous goods without previous 
full disclosure to the carrier as required by 
law, shall indemnify the carrier against all 
loss, damage or delay caused by the failure to 
disclose and such goods may be warehoused 
at the consignor's risk and expense. 

16. Undelivered Goods 

i. If, through no fault of the carrier, the 
goods cannot be delivered, the carrier 
shall immediately give notice to the 
consignor and consignee that deUvery 
cannot be made and shall request dis- 
posal instructions. 



ii. Pending receipt of disposal instruc- 
tions, 

A. the goods may be stored in the 
warehouse of the carrier, sub- 
ject to a reasonable charge for 
storage, or 

B. if the carrier has notified the 
consignor of this intention, the 
goods may be removed to and 
stored in a public or licensed 
warehouse at the expense of 
the consignor, without liability 
on the part of the carrier, and 
subject to a hen for all freight 
and other lawful charges, 
including a reasonable charge 
for storage. 

17. Return of Goods 

If a notice has been given by the carrier pur- 
suant to paragraph i of Article 16, and no 
disposal instructions have been received 
within ten da>'5 from the date of such notice, 
the carrier may return to the consignor, at 
the consignor's expense, all undeUvered ship- 
ments for which such notice has been given. 

18. Alterations 

Subject to Article 19, any limitation on the 
carrier's liability on the bill of lading and any 
alteration to the bill of lading shall be signed 
or initialled by the consignor and the origi- 
nating carrier or their agents and unless 
signed and initialled shall be without effect. 



19. Weights 



It shall be the responsibility of the 
consignor to show correct shipping 
weights of the shipment on the bill of 
lading. 

If the actual weight of the shipment 
does not agree with the weight shown 
on the bill of lading, the weight 
shown on the bill of lading may be 
corrected by the carrier. 



20. C.O.D. Shipments 



A carrier shall not deliver a C.O.D. 
shipment unless payment is received 
in full. 

The charge for collecting and remit- 
ting the amount of C.O.D. bills for 
C.O.D. shipments must be collected 
fiwm the consignee unless the con- 
signor has instructed otherwise on the 
bill of lading. 



35 



434 O. Reg. 26/89 



THE ONTARIO GAZETTE 



O. Reg. 27/89 



A carrier shall remit all C.O.D. mon- 
eys to the consignor, or person desig- 
nated by the consignor, within fifteen 
days after collection. 

A carrier shall keep all C.O.D. mon- 
eys in a trust fund or account separate 
from the other revenues and funds of 
the carrier's business. 

A carrier shall include the charges for 
collecting and remitting money paid 
by consignees as a separate item in the 
schedule of rates. 

O. Reg. 26/89, Sched. 



5/89 



TRUCK TRANSPORTATION ACT, 1988 

O. Reg. 27/89. 

Conditions of Carriage — Household Goods 

Carriers. 
Made^anuary 18th, 1989. 
Filed— January 20th, 1989. 



REGULATION MADE UNDER THE 
TRUCK TRANSPORTATION ACT, 1988 

CONDITIONS OF CARRIAGE— HOUSEHOLD 
GOODS CARRIERS 

1. A bill of lading issued by a holder of a House- 
hold Goods operating authority shall be identified by a 
numerical or alpha-numerical code and shall contain, 

(a) the name and address of the consignor; 

(b) the name, address and telephone number of 
the consignee; 

(c) the originating point of the shipment; 

(d) the destination of the shipment; 

(e) the date of the shipment; 

(f) in a conspicuous place, the name and tele- 
phone number of the original contracting 
carrier; 

(g) in a conspicuous place, the name and tele- 
phone number of the destination agent; 

(h) the names of connecting carriers, if any; 

(i) the inentory of the goods comprising the 
shipment; 



(j) a statement as to whether the goods were 
received in apparent good order and condi- 
tion, except as noted on the inventory; 

(k) a space to show the declared valuation of the 
shipment; 

(1) a space to show the amount of freight and all 
other charges to be collected by the carrier; 

(m) a space to show the date or time period 
agreed upon for delivery; 

(n) a space to note any special services or agree- 
ments between the consignor and the origi- 
nating contracting carrier; 

(o) a statement to indicate that the uniform con- 
ditions of carriage apply; 

(p) if applicable, a statement, in conspicuous 
form, that the carrier's liability is limited by 
a term or condition of the carriage; and 

(q) a statement in conspicuous form that the sig- 
nature of the consignee for receipt of goods 
does not preclude future claim for loss or 
damage made within the time limits pre- 
scribed by the conditions of carriage. 
O. Reg. 27/89, s. 1. 

2. A waybill shall bear the same numerical or 
alpha-numerical identification code as the original bill 
of lading and shall show the name of the consignor, 
the name of the consignee, the originating point of the 
shipment, the destination of the shipment, connecting 
carriers, if any, and particulars of the goods. 
O. Reg. 27/89, s. 2. 

3. The conditions set out in the Schedule shall be 
deemed to be a part of every contract for the carriage 
for compensation of any of the commodities listed 
under the Household Goods classification of operating 
licences. O. Reg. 27/89, s. 3. 

4. This Regulation comes into force on the 30th 
day of January, 1989. 



Schedule 

1 . Liability of Carrier 

The carrier of the goods herein described is 
liable for any loss of or damage to goods 
accepted by the carrier or the carrier's agent 
except as hereinafter provided. 

2. Liability of Originating and Delivering Car- 



Where a shipment is accepted for carriage by 
more than one carrier, the carrier who issues 
the bill of lading (hereinafter called the origi- 
nating carrier) and the carrier who assumes 



36 



O. Reg. 27/89 



THE ONTARIO GAZETTE 



431 



responsibility for delivery to the consignee 
(hereinafter called the delivering carrier), in 
addition to any other liability hereunder, are 
liable for any loss of or damage to the goods 
while they are in the custody of any other 
carrier to whom the goods are delivered and 
from which liability the other carrier is not 
relieved. 

3 . Recovery from Connecting Carriers 

The originating carrier or the delivering car- 
rier, as the case may be, is entitled to recover 
from any other carrier to whom the goods are 
delivered the amount that the originating 
carrier or delivering carrier, as the case may 
be, is required to pay for the loss of or dam- 
age to the goods while they were in the cus-- 
tody of such other carrier. 

4. Remedy by Consignor or Consignee 

Nothing in Article 2 or 3 deprives a con- 
signor or consignee of any rights the con- 
signor or consignee may have against any 
carrier. 

5 . Exceptions from Liability 

i. The carrier shall not be liable for, 

A. loss, damage or delay to any of 
the goods described in the bill 
of lading caused by an act of 
God, the Queen's or public 
enemies, riots, strikes, a defect 
in the goods, an act or default 
of the consignor, owner or con- 
signee, authority of law or 
quarantine, 

B. except as a result of the negli- 
gence of the carrier or the car- 
rier's agents or employees, 

1. damage to fragile arti- 
cles that are not packed 
and unpacked by the 
contracting carrier or 
the contracting carrier's 
agent or employees, 

2 . damage to the mechani- 
cal, electronic or other 
operations of radios, 
phonographs, clocks, 
appliances, musical 
instruments and other 
equipment, irrespective 
of who packed or 
unpacked such articles, 
unless servicing and 
preparation was per- 
formed by the contract- 



ing carrier or the carri- 
er's agent or employees, 

3. deterioration of or dam- 
age to perishable food, 
plants or pets, 

4. loss of contents of con- 
signor-packed articles, 
unless the containers 
used are opened for the 
carrier's inspection and 
articles are listed on the 
bill of lading and 
receipted for by the car- 
rier, 

C. damage to or loss of a complete 
set or unit when only part of 
such set is damaged or lost, in 
which event the carrier shall 
only be liable for repair or 
replacement of the lost or dam- 
aged piece or pieces, 

D. damage to the goods at a place 
or places of pick-up at which 
the consignor or the consign- 
or's agent is not in attendance, 

E. damage to the goods at a place 
or places of delivery at which 
the consignor or the consign- 
or's agent is not in attendance 
and cannot give receipt for 
goods delivered. 

The burden of proving absence of 
negligence for the purpose of subpara- 
graph B of paragraph i is on the car- 
rier. 



6. Delay 



At the time of acceptance of the con- 
tract, the original contracting carrier 
shall provide the consignor with a 
date or time period within which 
delivery is to be made. 

Failure by the carrier to effect deliv- 
ery within the time specified on the 
face of the bill of lading shall render 
the carrier liable for reasonable food 
and lodging expenses incurred by the 
consignee. 

Failure by the consignee to accept 
delivery when tendered within the 
time specified on the bill of lading 
shall render the consignee Uable for 
reasonable storage in transit, han- 
dling and redelivery charges incurred 
by the carrier. 



37 



436 



THE ONTARIO GAZETTE 



O. Reg. 27/89 



7 . Routing by Carrier 

If the carrier forwards the goods by a con- 
veyance that is not a public truck, the liabil- 
ity of the carrier is the same as though the 
entire carriage were by public truck. 

8. Stoppage in Transit 

If goods are stopped and held in transit at the 
request of the party entitled to so request, the 
goods are held at the risk of that party. 

9. Valuation 

Subject to Article 10, the amount of any loss 
or damage for which the carrier is liable, 
whether or not the loss or damage results 
from negligence of the carrier or the carrier's 
employees or agents, shall be the lesser of, 

i. the value of the goods at the place and 
time of shipment, and 

ii. the greater of, 

A. the value of the goods as repre- 
sented by the consignor on the 
face of the bill of lading, and 

B. $4.41 per kilogram computed 
on the total weight of the ship- 
ment. 

10. Election 

i. If the consignor so elects on the face 
of the bill of lading, the maximum lia- 
bility shall be based on $1.32 per kilo- 
gram ï)er article lost or damaged. 

ii. If the liability is calculated under 
Article 9, the consignor shall pay 
additional charges for the insurance 
coverage in excess of $1.32 per kilo- 
gram per article. 

1 1 . Consignor's Risk 

If it is agreed that the goods are carried at the 
risk of the consignor, such agreement covers 
only such risks as are necessarily incidental 
to the carriage and the agreement does not 
relieve the carrier from liability for any loss 
or damage or delay that results from any 
negligence by the carrier or the carrier's 
agents or employees and the burden of prov- 
ing absence of negligence shall be on the car- 
rier. 

1 2 . Notice of Claim 

i. No carrier is liable for loss, damage or 
delay to any goods carried under the 
bill of lading unless notice thereof set- 



ting out particulars of the origin, des- 
tination and date of shipment of the 
goods and the estimated amount 
claimed in respect of such loss, dam- 
age or delay is given in writing to the 
originating carrier or the delivering 
carrier within sixty days after delivery 
of the goods or, in the case of failure 
to make delivery, within nine months 
from the date of shipment. 

ii. The final statement of the claim must 
be filed within nine months from the 
date of shipment. 

iii. The original carrier or the delivering 
carrier, as the case may be, shall 
acknowledge receipt of the claim 
within thirty days thereafter. 

1 3 . Articles of Extraordinary Value 

i. No carrier is bound to carry any docu- 
ments, specie or articles of extraordi- 
nary value unless by a special agree- 
ment to do so. 

ii. If such goods are carried without a 
special agreement and the nature of 
the goods is not disclosed on the bill of 
lading, the carrier shall not be liable 
for any loss or damage in excess of the 
maximum liability stipulated in Arti- 
cle 9. 

14. Freight Charges 

i. If required by the carrier, the freight 
and all other lawful charges accruing 
on the goods shall be paid before 
delivery but, if the total charges 
exceed the estimated charges by more 
than 10 per cent, the consignee shall 
pay the difference between the esti- 
mated and total charges within fifteen 
days (excluding Saturdays, Sundays 
and holidays) after delivery. 

ii. The fifteen-day extension in para- 
graph i does not apply if the carrier 
notifies the consignor of the total 
charges immediately after the goods 
are loaded or if the consignor signs a 
waiver of the extension. 

iii. If upon inspection it is ascertained 
that the goods shipped are not those 
described in the bill of lading, the 
freight charges must be paid upon the 
goods actually shipped with any addi- 
tional charges lawfully payable 
thereon. 

iv. If a consignor does not indicate that a 
shipment is to move prepaid, or does 



38 



O. Reg. 27/89 



THE ONTARIO GAZETTE 



O. Reg. 28/89 437 



not indicate how the shipment is to 
move, it will automatically move on a 
collect basis. 

15. Dangerous Goods 

Ever>' person, whether as principal or agent, 
shipping dangerous goods without previous 
full disclosure to the carrier, as required by 
law. shall indemnif>' the carrier against all 
loss, damage or delay caused by the failure to 
disclose and such goods may be warehoused 
at the consignor's risk and expense. 

16. Undelivered Goods 

i. If, through no fault of the carrier, the 
goods cannot be delivered, the carrier 
shall inunediately give notice to the 
consignor and consignee that delivery 
cannot be made and shall request dis- 
posal instructions. 

ii. Pending receipt of disposal instruc- 
tions, 

A. the goods may be stored in the 
warehouse of the carrier, sub- 
ject to a reasonable charge for 
storage, or 

B. if the carrier has notified the 
consignor of this intention, the 
goods may be removed to and 
stored in a public or licensed 
warehouse at the expense of 
the consignor, without liabilit>' 
on the part of the carrier, and 
subject to a lien for all freight 
and other lawful charges, 
including a reasonable charge 
for storage. 

17. Alterations 

Subject to Article 18, any limitation on the 
carrier's liabilitN* on the bill of lading and any 
alteration to the bill of lading shall be signed 
or initialled by the consignor and the origi- 
nating carrier or their agents and, unless 
signed and initialled, shall be without effect 



18. Weights 



It shall be the responsibilitv- of the 
originating carrier or such carrier's 
agent to show on the bill of lading the 
correct fare and gross and net weights 
by use of a certified public scale and 
to attach the weigh scale ticket to 
such carrier's copy of the bill of lad- 
ing. 

If there is no certified public scale at 
the plîice of origin or within a radius 



of sixteen kilometres of the place of 
origin, the gross weight shall be 
deemed to be 112 kilograms per cubic 
metre of properiy loaded van space. 

O. Reg. 27/89, Sched. 



5/89 



TRUCK TRANSPORTATION ACT, 1988 

O. Reg. 2889. 

Conditions of Carriage — Carriers of 

01 41 — ^Li\'e stock and 01 92 — Animal 

Specialties. 
Made — Januarv- 18th, 1989. 
Filed— Januarv- 20th, 1989. 



REGUL.\TIOX >L\DE UNDER THE 
TRUCK TR\XSPORTATIO.X ACT, 1988 

CONDITIONS OF CARRL\GE— C.\RRIERS OF 

01 41^IJVE STOCK .\NT) 01 92— .'\N1\L\L 

SPECL\LTIES 

1. .A bill of lading issued by a holder of an operat- 
ing authorit>- in respect of a shipment of 01 41 — live 
stock or 01 92 — animal specialties shall be identified 
by a numerical or alpha-numerical code and shall con- 
tain, 

(a) the name of the consignor; 

(b) the name and address of the consignee; 

(c) the originating point of the shipment; 

(d) the destination of the shipment; 

(e) the date of the shipment; 

(f) the name of the originating carrier issuing 
the bill of lading; 

(g) the names of cormecting carriers, if any; 
(h) particulars of the goods; 

(i) the gross weight of each shipment; 

(j) a space to show the declared valuat ion of the 
shipment, if any: 

(k) information as to whether the charges £ue 
prepaid or collect; 

(1) a space to show the amount to be collected 
by the carrier on a C.O.D. shipment: 

(m) if applicable, a statement, in conspicuous 
form, that the carrier's liability is limited by 



39 



438 



THE ONTARIO GAZETTE 



O. Reg. 28/89 



a term or condition of the schedule of rates or 
by other agreement; and 

(n) the words "at owner's risk" where the ship- 
ment is at the owner's risk. O. Reg. 28/89, 
s. 1. 

2. A waybill shall bear the same numerical or 
alpha-numerical identification code as the original bill 
of lading and shall show the name of the consignor, 
the name of the consignee, the originating point of 
shipment, the destination of the shipment, connecting 
carriers, if any, particulars of the goods and informa- 
tion as to whether the charges are prepaid or collect. 
O. Reg. 28/89, s. 2. 

3. The conditions set out in the Schedule shall be 
deemed to be a part of every contract for the carriage 
for compensation of 01 41 — live stock and 01 92 — 
animal specialties. O. Reg. 28/89, s. 3. 

4. This Regulation comes into force on the 30th 
day of January, 1989. 



signer or consignee may have against any 
carrier. 

5 . Exceptions from Liability 

The carrier shall not be liable for loss, dam- 
age, injury or delay to any of the goods 
described in the bill of lading caused by an 
act of God, the Queen's or public enemies, 
riots, strikes, a defect in the goods, an act or 
default of the consignor, owner or consignee, 
authority of law, quarantine or difference in 
weights of 01 41 — live stock or 01 92 — 
animal specialties by natural shrinkage. 

6. Delay 

No carrier is bound to carry goods by any 
particular public truck or in time for any 
particular market or otherwise than with due 
dispatch, unless by agreement that is specifi- 
cally endorsed on the bill of lading and 
signed by the parties. 



Schedule 

1 . Liability of Carrier 

The carrier of the goods herein described is 
liable for any loss of or damage or injury to 
goods accepted by the carrier or the carrier's 
agent except as hereinafter provided. 

2 . Liability of Originating Carrier 

Where a shipment is accepted for carriage by 
more than one carrier, the carrier who issues 
the bill of lading (hereinafter called the origi- 
nating carrier), in addition to any other lia- 
bility hereunder, is liable for any loss of or 
damage or injury to the goods while they are 
in the custody of any other carrier to whom 
the goods are delivered and the onus of prov- 
ing that the loss, damage or injury was not 
caused or did not result while the goods were 
in the custody of another carrier to whom the 
goods were delivered is upon the originating 
carrier. 

3. Recovery from Connecting Carriers 

The originating carrier or the delivering car- 
rier, as the case may be, is entitled to recover 
from any other carrier to whom the goods are 
delivered the amount that the originating 
carrier or delivering carrier, as the case may 
be, is required to pay for the loss of or dam- 
age or injury to the goods while they were in 
the custody of such other carrier. 

4. Remedy by Consignor or Consignee 

Nothing in Article 2 or 3 deprives a con- 
signor or consignee of any rights the con- 



7 . Routing by Carrier 

If the carrier forwards the goods by a con- 
veyance that is not a public truck, the liabil- 
ity of the carrier is the same as though the 
entire carriage were by public truck. 

8. Stoppage in Transit 

If goods are stopped and held in transit at the 
request of the party entitled to so request, the 
goods are held at the risk of that party. 

9. Valuation 

Subject to Article 10, the amount of any loss, 
injury or damage for which the carrier is lia- 
ble, whether or not the loss, injury or dam- 
age results from negligence, shall be the 
lesser of, 

i. the value of the goods at the place and 
time of shipment including the freight 
and other charges if paid, and 

ii. $3.31 per kilogram computed on the 
total weight of the shipment. 

10. Declared Value 

If the consignor has declared a value of the 
goods on the face of the bill of lading, the 
amount of any loss, injury or damage for 
which the carrier is liable shall be or shall not 
exceed the declared value. 

11. Consignor's Risk 

i. If it is agreed that the goods are car- 
ried at the risk of the consignor or 



40 



O. Reg. 28/89 



THE ONTARIO GAZETTE 



439 



owner of the goods, such agreement 
covers only such risks as are necessar- 
Uy incidental to the carriage and the 
agreement does not relieve the carrier 
from liabilit>- for any loss or damage, 
injury or delay that results from the 
negligence of the carrier or the carri- 
er's agents or employees. 

ii. The burden of proving absence of 
negligence shall be on the carrier. 

1 2 . Notice of Claim 

No carrier is liable for loss, damage, injury 
or delay to any goods carried under the bill of 
lading unless notice thereof setting out par- 
ticulars of the origin, destination and date of 
shipment of the goods and the estimated 
amount claimed in respect of such loss, dam- 
age, injury or delay is given in writing to the 
originating carrier or the delivering carrier 
within ninety days after delivery of the goods 
or, in the case of failure to make delivery, 
within ninety days after a reasonable time for 
delivery* has elapsed. 

13 . Articles of Extraordinary Value 

i. No carrier is bound to carry amy docu- 
ments, specie or articles of extraordi- 
nary value unless by a special agree- 
ment to do so. 

ii. If such goods are carried without a 
special agreement and the nature of 
the goods is not disclosed on the bill of 
lading, the carrier shall not be liable 
for any loss, injury, damage or delay 
in excess of the maximum liability sti- 
pulated in Article 9. 

14. Freight Charges 

i. If required by the carrier, the freight 
and all other lawful charges ziccruing 
on the goods shall be paid before 
delivery. 

ii. If upon inspection it is ascertained 
that the goods shipped are not those 
described in the bill of lading, the 
freight charges must be paid upon the 
goods actually shipped with any addi- 
tional charges lawfully payable 
thereon. 

iii. If a consignor does not indicate that a 
shipment is to move prepaid, or does 
not indicate how the shipment is to 
move, it will automatically move on a 
collect basis. 

1 5 . Undelivered Goods 

i. If, through no fault of the carrier, the 
goods cannot be delivered, the carrier 



shall immediately give notice to the 
consignor and consignee that delivery 
carmot be made and shall request dis- 
posal instructions. 

ii. Pending receipt of disposal instruc- 
tions, 

A. the goods may be stored in the 
warehouse of the carrier, sub- 
ject to a reasonable charge for 
storage, or 

B. if the carrier has notified the 
consignor in writing of this 
intention, the goods may be 
removed to and stored in a 
pubUc or licensed warehouse 
at the expense of the con- 
signor, without liability' on the 
part of the carrier, and subject 
to a lien for all freight and 
other lawful charges, including 
a reasonable charge for stor- 
age. 

16. Alterations 

Any limitation on the carrier's liability on the 
bill of lading and any alteration to the bill of 
lading shall be signed or initialled by the con- 
signor and the originating carrier or their 
agents and unless signed and initialled shall 
be without effect. 

17. C.O.D. Shipments 

i. A carrier shall clearly indicate, on the 
documents accompanying each 
C.O.D. shipment received and trans- 
ported, the name and address of the 
consignor or other person designated 
as payee to whom the delivering car- 
rier shall remit C.O.D. funds col- 
lected upon delivery of the shipment. 

ii. A carrier shall keep all C.O.D. mon- 
eys in a trust fund account separate 
from the other revenues and funds of 
the carrier's business. 

iii. A carrier shall remit all C.O.D. mon- 
eys to the consignor or person desig- 
nated by the consignor within fifteen 
days after collection. 

iv. If a C.O.D. shipment is not delivered 
within ten days of its arrival at its 
destination, the carrier shall notify 
the consignor in writing giving rea- 
sons for the non-delivery and shall 
obtain instructions in writing for dis- 
posal of the shipment. 



41 



440 O. Reg. 28/89 



THE ONTARIO GAZETTE 



O. Reg. 29/89 



A carrier shall maintain a separate 
record of all C.O.D. shipments, col- 
lections and remittances and the 
records shall be produced when 
required for inspection by an officer 
of the Ministry. 

O. Reg. 28/89, Sched. 



5/89 



TRUCK TRANSPORTATION ACT, 1988 

O. Reg. 29/89. 

Conditions of Carriage — ^Intermediaries. 
Made — ^January 18th, 1989. 
Filed— January 20th, 1989. 



REGULATION MADE UNDER THE 
TRUCK TRANSPORTATION ACT, 1988 

CONDITIONS OF 
CARRIAGE— INTERMEDIARIES 

1. A bill of lading issued by a holder of an Interme- 
diary operating authority (hereinafter called an inter- 
mediary) shall be identified by a numerical or alpha- 
numerical code and shall contain, 

(a) the name of the consignor; 

(b) the name and address of the consignee; 

(c) the originating point of the shipment; 

(d) the destination of the shipment; 

(e) the date of the shipment; 

(f) the name of the intermediary issuing the bill 
of lading; 

(g) the number of pieces or the quantity of 
goods; 

(h) the contents of the packages or the particu- 
lars of goods; 

(i) the gross weight of each shipment; 

(j) a space to show the declared valuation of the 
shipment, if any; 

(k) information as to whether the charges are 
prepaid or collect; 

(1) a space to show the amount to be collected 
by the carrier on a C.O.D. shipment; 

(m) the words "at owner's risk" where the ship- 
ment is at the owner's risk. O. Reg. 29/89, 
s. 1. 



2. A waybill shall bear the same numerical or 
alpha-numerical identification code as the original bill 
of lading and shall show the name of the consignor, 
the name of the consignee, the originating point of 
shipment, the destination of the shipment, connecting 
carriers, if any, particulars of the goods and informa- 
tion as to whether the charges are prepaid or collect. 
O. Reg. 29/89, s. 2. 

3. The conditions set out in the Schedule shall be 
deemed to be a part of every contract for the carriage 
of goods for compensation between the intermediary 
and a consignor. O. Reg. 29/89, s. 3. 

4. This Regulation comes into force on the 30th 
day of January, 1989. 



Schedule 

1 . Liability of Carrier 

The intermediary of the goods herein 
described is liable for any loss of or damage 
or injury to goods accepted by the intermedi- 
ary or the intermediary's agent except as 
hereinafter provided. 

2. Recovery from Connecting Carriers 

The carrier who issues the bill of lading 
(hereinafter called the originating carrier) or 
the carrier who assumes responsibility for 
delivery to the consignee (hereinafter called 
the delivering carrier), as the case may be, is 
entitled to recover from any other carrier to 
whom the goods are delivered the amount 
that the originating carrier or delivering car- 
rier, as the case may be, is required to pay 
for the loss of or damage or injury to the 
goods while they were in the custody of such 
other carrier. 

3. Exceptions from Liability 

The intermediary is not liable for loss, dam- 
age, injury or delay to any of the goods 
described in the bill of lading caused by an 
act of God, the Queen's or public enemies, 
riots, strikes, a defect in the goods, an act or 
default of the consignor, owner or consignee, 
authority of law, quarantine or difference in 
weights of grain, seed or other commodities 
caused by natural shrinkage. 

4. Delay 

No intermediary is bound to accept or carry 
goods by any particular public truck or in 
time for any particular market or otherwise 
than with due dispatch, unless by agreement 
that is specifically endorsed on the bill of lad- 
ing and signed by the parties. 



42 



O. Reg. 29/89 



THE ONfTARIO GAZETTE 



O. Reg. 30/89 441 



5. Valuation 

Subject to Article 6, the amount of any loss, 
injur>' or damage for which the intermediary 
is liable, whether or not the loss, injur>' or 
damage results from negligence, shall be the 
lesser of, 

i. the value of the goods at the place and 
time of shipment including the freight 
and other charges if paid, and 

ii. $4.41 per kilogram computed on the 
total weight of the shipment. 

6. Declared Value 

If the consignor has declared a value of the 
goods on the face of the bill of lading, the 
amount of any loss, injury or damage for 
which the intermediary is liable shall be or 
shall not exceed the declared value. 

7 . Consignor's Risk 

i. If it is agreed that the goods are car- 
ried at the risk of the consignor or 
owner, such agreement covers only 
such risks as are necessarily incidental 
to the carriage and the agreement 
does not relieve the intermediar>- from 
liability for any loss, injury, damage 
or delay that results from any negli- 
gence by the intermediary or the 
intermediary's agents or employees. 

ii. The burden of proving absence of 
negligence shall be on the intermedi- 
ary. 

8. Notice of Claim 

No intermediary is liable for loss, damage, 
injury or delay to any goods carried under 
the bill of lading unless notice thereof setting 
out particulars of the origin, destination and 
date of shipment of the goods and the esti- 
mated amount claimed in respect of such 
loss, damage, injury or delay is given in writ- 
ing to the originating carrier or the delivering 
carrier within mnet>' days after delivery of 
the goods or, in the case of failure to make 
deliver)-, within ninety days after a reason- 
able time for delivery- has elapsed. 

9 . Articles of Ejrtraordinary Value 

i. No carrier is bound to carry any docu- 
ments, specie or articles of extraordi- 
nary value unless by a special agree- 
ment with the intermediary to do so. 

ii. K such goods are carried without a 
special agreement, the carrier shall 
not be liable for any loss, injury or 
damage in excess of the maximum lia- 
biht>' stipulated in Article 5. 



iii. If the consignor has declared the 
value of such goods on the face of the 
bill of lading and the intermediary' has 
not entered into a special agreement 
with the carrier that indicates the 
extraordinary' value of the goods car- 
ried by the carrier, the intermediary 
shall be liable to the consignor for the 
loss, injur>- or damage in excess of the 
carrier's maximum liability. 

10. Dangerous Goods 

Every person, whether as principal or agent, 
shipping dangerous goods without previous 
full disclosure to the intermediary as 
required by law shall indemnifv' the interme- 
diary against all loss, damage or delay 
caused by the failure to disclose and such 
goods may be warehoused at the consignor's 
risk and expense. 

1 1 . Alterations 

Any limitation on the intermediary's liability 
on the bill of lading and cuiy alteration to the 
bill of lading shall be signed or initialled by 
the parties or their agents and unless signed 
and initialled shall be without effect. 



O. Reg. 29/89, Sched. 



5/89 



TRUCK TRANSPORTATION ACT, 1988 

O. Reg. 30/89. 
Obligations of Licensees. 
Made— January 18th, 1989. 
Filed— January 20th, 1989. 



REGULATION MADE UNTJER THE 
TRUCK TRANSPORTATION ACT, 1988 

OBUGATIONS OF UCENSEES 

1. This Regulation applies to operating licences 
issued under the Act or deemed to be Ucences for the 
purf)oses of the Act and to the holders of such licences. 
O. Reg. 30/89, s. 1. 

BILL OF LADING EXEMPTIONS 

2. — (1) The Registrar may grant a bill of lading 
exemption under subsection 19 (6) of the Act to a 
holder of an operating licence who, 

(a) uses electronic data transmission equipment 
that contains and would provide, except for 
the exemption, the information required to 
be contained in a bill of lading; or 



43 



442 



THE ONTARIO GAZETTE 



O. Reg. 30/89 



(b) is engaged in carrying parcels, wrapped or 
unwrapped, each of which does not weigh 
more than forty-five kilograms. 

(2) The exemption to a licensee referred to in clause 
(1) (b) only applies to the carriage of parcels described 
in that clause. O. Reg. 30/89, s. 2. 

3. — (1) A licensee who receives a bill of lading 
exemption under clause 2 (1) (a) shall identify each of 
the items carried by a reference number or other 
means that will permit identification of each item at a 
later date. 

(2) A licensee who receives a bill of lading exemp- 
tion under subsection 2 (1) shall retain for one year 
after each delivery the information that, except for the 
exemption, would be required to be contained in a bill 
of lading. O. Reg. 30/89, s. 3. 

INSURANCE 

4. — (1) For each motor vehicle operated by a 
licensee, the licensee shall provide or effect and carry 
with an insurer licensed under the Insurance Act, 

(a) motor vehicle liability insurance in the 
amount of $1,000,000; and 

(b) ■ liability insurance for loss or damage to cargo 

in an amount sufficient to cover the loss or 
damage of the cargo carried. 

(2) Clause (1) (b) does not apply where the cargo is 
road-construction materials, iron, steel, coal, rough 
lumber, miscellaneous waste or scrap or materials of 
an indestructible or non-flammable nature. O. Reg. 

30/89, s. 4. 

TARIFF OF TOLLS 

5. Every licensee shall publish a tariff of tolls for 
the purposes of section 18 of the Act by making the 
tariff available in written form for inspection by any 
person who requests to see it during ordinary business 
hours at the principal place of business of the licensee 



in Ontario or, if there is no such place, at premises of 
the licensee's agent appointed under subsection 4 (12) 
of the Act. O. Reg. 30/89, s. 5. 

6. The following classes of licensees are exempted 
from the requirements of section 18 of the Act: 

1. Licensees operating under Single-source or 
Owner-driver authorities. 

2. Licensees engage in the carriage of road-con- 
struction materials. 

3. Licensees who operate no more than four 
commercial vehicles under the authority of 
the operating licence, except a licensee whose 
licence includes a Household Goods 
authority. O. Reg. 30/89, s. 6. 



INTERCORPORATE EXEMPTION 

7. An application for a certificate of intercorporate 
exemption shall be in Form 1. O. Reg. 30/89, s. 7. 



CERTIFICATES OF COMPETENCY 

8. — (1) In this section, "place of business" means a 
terminal, warehouse, office or garage to which a 
licensee or employee of a licensee reports for work and 
performs regular service. 

(2) All drivers employed by a licensee shall be 
assigned by the licensee to one of the licensee's places 
of business for the purposes of this section. 

(3) The licensee shall assign to each place of busi- 
ness in Ontario to which more than twenty-five 
employees are assigned at least one person, whether 
that person is the licensee or a full-time employee, who 
holds a certificate of competency. O. Reg. 30/89, 
s. 8. 

9. This Regulation comes into force on the 30th 
day of January, 1989. 



44 



O. Reg. 30/89 



THE ONTARIO GAZETTE 



443 



Form 1 

Truck Transportation Act. 1968 



Ontano 



Ministry 

of 

Transportation 



An Application for an 
Intercorporate Exemption Certificate 



■ Send ma apotcatKxi «nV< tfie requned *ee to M.TO. Camer Ucensng 
OMce. East Bug. 1201 WMson Ave Oownsvww. Onl M3M 1J8 

■ Oo not send cash Make cheque or money order payable to (he Treasurer 
olOotanoMTO 



Applicant Infonnation 



^Yt^. 



>»«ii^g«m«i« SmiNo «HmPO OvHsRIlNoorlalCBiandTiw 


»»t"» 


1 cm tam>. Viqt PWKsSa* 

' » i i . . 


PMMCoda 


■UITOSMMH SHMNo 1 Nan« UK Can jnd Ti* 

i . . . , , , , 


«•N. 


C«1bw<.lMia>l><OTK»SMi ,PWMCa«> 


8m tMaxonaNo 



Ministry Use Only 



Op- No. I 



u 



Payment Method 
CCash CCheque 

C Money CMar D 

Amount Coteded S 



Appicamn i 
ReceiplOaM 






A(vlcar(isa 



" Cornpany 



lABKh ••• pog* onry tnxn ma AitdM ol mcer- 



AlWirtid Cofporabon(«) _ 

Ust al co rp o r a ti ons wtioquaify as affkatosof the appicant 



Name and Head OHica Address 



undarSecBonllofffieTnidiTransportatonAct. 1988(11 more tianS.aaachist>^ 



noyi!]1iiii< IderttAcation HoJ 
Commeroal VeNde Operator Nft. 



Declaration 

The Apphcant or Ctve» Executive 0*cer o# Applicant certifies that (ai me 
corporabons named atiove are alMates of the applK:ant as detmed m 
Sedan 11 of the Truck Transportttwn Act 1988 : (b) Nerther the appkcant noi 
an alttatod corporation named above s a hoBër ol an oper a >ng licence 
«sued m Ontano wvlar Ih e Putikc Commercial Vehides Act, the Molor 
V*l»eJe Transport Act.1987"(C»iMfa)orthe Trucfc TransportalionAct.1988 
Apphcant or Chwi Execukve ORicar ol Appfecam (Please Pnni) 



ViVar-Md S^JAy* 



T II O 

■ I ■ ! . ! 



siMj<-'(a»oi 



O. Reg. 30/89, Form 1. 



5/89 



45 



444 



THE ONTARIO GAZETTE 



O. Reg. 31/89 



FARM PRODUCTS MARKETING ACT 

O. Reg. 31/89. 
Burley Tobacco — Plan. 
Made — January 12th, 1989. 
Filed — January 20th, 1989. 



REGULATION TO AMKND 

REGULATION 351 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

FARM PRODUCTS MARKETING 

ACT 

1, — (1) Section 5 of the Schedule to Reg- 
ulation 351 of Revised Regulations of 
Ontario, 1980 is revoked and the fol- 
lowing substituted therefor: 

5. The local board shall be composed of four mem- 
bers elected or appointed in accordance with this plan. 

(2) Section 7 of the said Schedule is 
revoked and the following substituted 
therefor: 

7. An annual meeting of producers shall be held on 
the third Tuesday in November in each year. 

(3) Paragraphs 1 and 2 of subsection 8(1) 
of the said Schedule are revoked and 
the following substituted therefor: 

1. District 1, one member. 

2. District 2, three members. 

(4) Subsection 9(1) of the said Schedule is 
revoked and the following substituted 
therefor: 

(1) On the third Tuesday in November in 1989, 
1990 and in every second year thereafter, the produc- 
ers in District 1 shall hold a meeting to nominate and 
elect a member to the local board. 



(la) On the third Tuesday in November in 1989 and 
in every second year thereafter, the producers in Dis- 
trict 2 shall hold a meeting to nominate and elect three 
members to the local board. 



(5) Subsection 9 (3) of the said Schedule is 
revoked and the following substituted 
therefor: 

(3) The returning officer, on being satisfied that 
nominations under subsection (2) are complete, shall so 
declare and, after giving each of the persons nomi- 
nated an opportunity to decline the nomination, shall, 
where not more than one person is nominated for Dis- 
trict 1 or not more than three persons are nominated 
for District 2, declare such person or persons elected. 

(6) Subsections 10 (1) to (3) of the said 
Schedule are revoked. 

(7) Subsection 10 (4) of the said Schedule 
is revoked and the following substi- 
tuted therefor: 

(4) The local board shall give producers at least 
seven days prior written notice of the day, time and 
place of the nomination and election. 

(8) Subsection 11 (2) of the said Schedule 
is amended by, 

(a) striking out "third" in the first line; 
and 

(b) striking out "fifth" in the third line 
and inserting in lieu thereof "third". 

(9) Subsection 12 (1) of the said Schedule 
is revoked and the following substi- 
tuted therefor: 

(1) The term of office of each member of the local 
board commences on the 1st da>' of December in the 
year in which the member is elected or appointed. 



5/89 



46 



O. Reg. 32/89 THE ONTARIO GAZETTE 445 

LINK FENCKS ACT 

(). Reg. 32/89. 

Forms. 

Made— Januan- 12th. 1989. 

Filed — Januan 20th, 1989. 



REGULATION TO AMEND REGULATION 579 OF 

REVISED REGULATIONS OF ONTARIO, 1980 

MADE UNDER THE LINE FENCES ACT 

L — (1) Subsection 1 (1) of Regulation 579 of Revised Regulations of Ontario, 1980 is 
amended by adding at the end thereof "or lA". 

(2) Subsection 1 (2) of the said Regulation is amended by adding at the end thereof "or 
2A". 

(3) Subsection I (3) of the said Regulation is amended by adding at the end thereof "or 
3A'. 

2. Section 2 of the said Regulation is amended by adding at the end thereof "or 4A". 

3. — (1) Subsection 3(1) of the said Regulation is amended by adding at the end thereof 
"or 5A". 

(2) Subsection 3 (2) of the said Regulation is amended by adding at the end thereof "or 
6A". 

4. — (1) Subsection 4(1) of the said Regulation is amended by adding at the end thereof 
"or 7A". 

(2) Subsection 4 (2) of the said Regulation is amended bv adding at the end thereof "or 

8A". 

5. — (1) Subsection 5(1) of the said Regulation is amended by adding at the end thereof 
"or 9A". 

(2) Subsection 5 (2) of the said Regulation is amended by adding at the end thereof "or 
lOA". 

(3) Subsection 5 (3) of the said Regulation is amended by adding at the end thereof "or 
11 A". 

6. Section 6 of the said Regulation is amended by adding at the end thereof "or 12A". 

7. Section 7 of the said Regulation is amended by adding at the end thereof "or 13A". 

8. Section 8 of the said Regulation is amended by adding at the end thereof "or 14A". 

9. Section 9 of the said Regulation is amended by adding at the end thereof "or 15A". 
10. The said Regulation is amended by adding thereto the following forms: 



47 



446 THE ONTARIO GAZETTE O. Reg. 32/89 

Formule lA 

Loi sur les clôtures de borna ge 

(Paragraphe 4 II) ) 

DEMANDE D'INSPECTEURS DES CLÔTURES 

•fc, ^ , propriétaire de certains biens-fonds, 

soit 

(description suffisante des biens-fonds pour enregistrement au bureau d'enregistrement immobilier compétent) 

par les présentes donne avis que je désire et demande que trois inspecteurs des clôtures examinent la clôture et procèdent à l'arbitrage du litige en ce 
qui concerne la responsabilité à l'égard de la clôture de bornage pour marquer la limite entre mon bien-fonds et un 

bien fonds contigu, soit : , dont les biens-fonds peuvent être plus précisément décrits comme suit : 

(description suffisante des biens-fonds pour enregistrement au bureau d'enregistrement immobilier compétent) 



Je comprends que les descriptions de mon bien-fonds et du bien-fonds de fournies ci-dessus 

sont celles qui serviront pour la sentence des inspecteurs des clôtures et qui apparaîtront dans tout certificat subséquent préparé par ceux-ci en 
rapport avec la semence et. par conséquent, je me suis assuré que les descriptions sont justes et suffisantes pour enregistrement au bureau 
d'enregistrement immobilier compétent. 

Elal de la clôture marquant la limite entre nos biens-fonds contigus : 

D — Il n'y a aucune clôture 

C (X^l II-Z 

I.A U - Ui clôliirc doit ûlrc rca)n!>lruilo 

CASE 

APPROPRIÉE 

n — La clôture doit être réparée, entretenue et maintenue en place 

•La limite entre nos biens-Ibnds n'est pas en litige. 

À le Jour de 19 

Témoin Personne qui désire que les inspecteurs des 

clôtures examinent la clôture et procèdent à l'arbitrage. 

* Les inspecteurs des clôtures n'ont pas compétence pour trancher les litiges portant sur les limites. 

Il est préférable de préparer cette formule en trois exemplaires (le secrétaire garde l'original et en remet une copie à chaque propriétaire de 
bien-fonds contigu). 

O. Reg. 32/89, s. 10, part. 



48 



O. Reg. 32/89 THE ONTARIO GAZETTE 447 

Formule 2A 

Loi sur les clotures de borna ge 
(Paragraphe 4 (2) ) 
AVlSt)ÔNNÉ AUX PARTIES PAR LE SECRÉTAIRE (LTTIGE) 
Soyez avisé que trois inspecteurs des clôtures de cette localité se rendront sur les lieux des biens-fonds décrits ci-dessous à la date survante : 



Jour 



Mois 



Année . 



Heure 

pour examiner une clôture de bornage et procéder à l'arbitrage d'un litige en ce qui concerne les biens-fonds de : 



(nom du propriétaire qui a introduit l'instance) 



(descnption sufTrsante des biens-fonds pour identifier la propriété, par l'adresse civique ou autrement) 
et les biens-fonds de 



(nom du propriétaire du bien-fofKls contigu) 



(description suffisante des biens-fonds pour identifier la propriété, par l'adresse civique ou autrement) 

ET su^<3 u\isé que si urie partie qui a été avisée ne se présente pas à Texainen. les inspecteurs des clôtures peuvent procéder à cet exainen en ^ 
et. sauf dispositions ouniruires de la Loi sur les clôtures de bormee . elle n'aura droit à aucun autre avis durant l'instance. 

Le jour de 

19 

A : (Propriétaire ou occupant avisé) 



(secrétaire ou autre personne désignée) 

(personne qui désire que les inspecteurs des clôtures 
examinent la clôture et procèdent à Xai^tragt) 

L'article 5 de la Lui sur les dôiures de borna ge prévoit ce qui suit : 

Si l'occupant du bien-fonds qui n'en est pas le propriétaire reçoit l'avis donné en vertu de la présente loi, il en informe immédiatement le 
prt>priétjire. S'il néglige de ce faire, il est responsable du dommage qu'une telle négligence cause au propriétaire. 

O. Reg. 32/89, s. 10. part. 



49 



448 THE ONTARIO GAZETTE O. Reg. 32/89 

Formule 3A 

Loi sur les clôtures de borna ge 

(Paragraphe 4 (2) ) 

AVIS DONNÉ AUX INSPECTEURS DES CLÔTURES PAR LE SECRETAIRE (LITIGE) 

Soyez avisés que je désire que vous vous rendiez sur les lieux des biens-fonds décrits ci-dessous à la date suivante : 

Jour 

Mois 

Année 

Heure 

pour examiner une clôture de bornage et procéder à l'arbitrage d'un litige en ce qui concerne les biens-fonds de : 

(nom du propriétaire qui a introduit l'instance) 
soit 
(description sulfisanic des hlcns-fonds pour identifier la propriété, par l'adresse civique ou autrement) 



et les biens-fonds de 
(nom du propriétaire contre lequel l'instance a été introduite) 
soit 
(description sulfisanie des hiens-jiinds pour identifier la propriété, par l'adresse civique ou autrement) 



Secrétaire ou autre 
personne désignée 



AUX : Inspecleurs des clôtures 



O. Reg. 32/89, s. 10, part. 



50 



O. Reg. 32/89 



Pour les descriptions, 
utilisez les 
descriptions de Li 
formule 1. le cas 
lvIhImiiI. cl fiiiiHlrc 
une annexe s'il y a 
lieu 



Cochez la case 
appropriée 



Remplir a. b ou c. 
selon le cas 



THE ONTARIO GAZETTE 449 

Formule 4A 

Loi sur les datura de borna ge 
(Paragraphe 7(1)) 

SENTENCE 

Nous, les inspeaeurs des clôtures de «yant 

(nom de la hcaliu) 
éié appelés à examiner la clôture et à procéder à l'arbitrage d'un litige concernant la dôtute de bornage entre les 

biens-fonds de 

( nom du propriétaire qui a introduit /Instance) 

soit : 

/description suffisante des biens-fonds pour enregistrement au bureau d'eruegistremera immobilier compétent) 

et les biens-fonds de 

{nom du propriétaire contre lequel l'iiutance a été introduite} 

soit 

/description suffisante des biens-fonds pour enrepstremeni au bureau d'emepstrement immoMier compétent) 
et après avoir examiné les biens-fonds et agi conformément à la Loi sur les clôtures de bornage , ordonnons que: 

I Une clôture pour marquer la limite entre les biens-fonds contigus ci-haut décrits, soit 

D construite, entretenue et maintenue en place 
n reconstruite, entretenue et nuintenue en place 
n réparée, entretenue et maintenue en place. 

2. a. est tenu de 

(nom du propriétaire) 
construire/reconstruire/répaier ( radie: les termes non nécessaires) , entretenir et maintenir en place 

la partie de la clôture commençant à 

{description du point) 

et se tetmituint à 

(description du poiiu)r, 

est tenu de 

(nom du propriétaire du bien-fonds contigu) 
construite/reconsttuirc/réparer ( radiez les termes non nécessaires) , entretenir et maintenir en place 

la partie de la clôture commençant à 

(description du point) 

et se terminant à 

(description du point). 

ou 

b est tenu de 

(nom du propriétaire) 
construire/ieconstruire/réparer (radie: les termes non nécessaires ), entretenir et maintenir en place 

la clôturé, et devra lui 

(nom du propriétaire contingu) 
verser la moitié du coût des travaux engagés pour l'exécution de cette sentence, après avoir été avisé 
du coût de ces travaux conformément à la Loi sur les clôtures de boma ye. 

51 



450 



THE ONTARIO GAZETTE 



O. Reg. 32/89 



c. Les inspecteurs des clôtures estiment qu'une sentence rendue aux termes des paragraphes 2a ou 2b 
serait injuste, et que la sentence suivante serait plus appropriée : 



La clôture répondra à la description suivante: 

(imiiquez le type de clôture, la hauteur, les matériaux etc.) 
(joindre une annexe, s'il y a lieu) 



Les travaux devront commencer au plus tard le jour de 

pour se lemiiner au plus tard le jour de 19. 



Les dépens relatifs aux instances sont fixés à . . 

Poste 

Droits dus aux inspecteurs pour cette 
comparution 

Droits administrutirs fixés par règlement en 
venu du piiiiigiaplic km (Dde lu lui 

Indemnité versée à l'arpenteur-géomètre 
embauché en vertu du pragrjphe 7 (5) de la loi 

Total des dépens 



.$ répartis comme suit: 



Montant 



(iioiii (lu pwprlctuhx) 
du total des dépens des instances, soit : 



devra payer . 



devra payer . 



(nom du propriétaire du bien-fonds conligu) 
du total des dépens des instances, soit: $ 



Les paiements devront être effectués à 

(nom de la municipalité où sont situés les biens-fonds qui Jont l'objet de la sentence) 



Le. 



.jour de . 



(Signature du témoin) 



(Signatures des inspecteurs des clôtures): 



O. Reg. 32/89, s. 10, part. 



52 



O. Reg. 32/89 THE ONTARIO GAZETTE 

Formule 5A 

Loi sur les clôtures de borna ge 

(Paragraphe 9(1)) 

AVIS DAPPEL DE LA SENTENCE DES INSPECTEURS DES CLOTURES BVR LE PROPRIÉTAIRE 



451 



ENTRE appelant(e) 



, intimé(e) 



SOYEZ AVISÉ que je inteijeite appel auprès de Parbiire 

de la sentence rendue par les inspecteurs des clôtures de (localité)le jour de 19 

dont copie certiTiée est jointe aux présentes, et demande que (décrivez brièvement la sentence désirée) 



piNir les mutilis suivants: (indique: les motifs clairement et succinctement! . 



Le jour de. 



AU: Pnipriélairc intimé 
Adresse de b résidence 



El au : (secrétaire de la . 



Propriétaire qui interjette appel 



(adresse de la' résidence) 



(nom de la municipalité où sont situés les biens-fonds qui font l'obiet de la sentence) 

O. Reg. 32/89, s. 10. part. 



53 



452 



THE ONTARIO GAZETTE 
Formule 6A 

Loi sur les clôtures de borna ge 

(Paragraphe 9(0) 

AFFIDAVIT DE SIGNIHCATION DE L'AVIS D'APPEL 



O. Reg. 32/89 



ENTRE : appelant(e) 

et 
, intimé(e) 



Je 

dans 

jure et déclare comme suit : 
Le 



de. 



.de. 



de (occupation). 



jour de 19 j'ai 



Cochez 

la c;ise 
appropriée 



a. n envoyé à l'intimé susmentionné, sous pli afTranchi et par courrier recommandé, comme en fait foi 

le certificat d'enregistrement ci-joint; 



b. n remis personnellement à l'intimé susmentionné, ou à un résident de la maison de l'intimé âgé de plus 

de 18 ans. 



l'avis d'appel prescrit par le paragraphe 9 (I) de la Loi sur les clôtures Je borna ge, dont copie certifiée conforme est jointe aux présentes. 



Pour cHectuer la signification, j'ai dû voyager kilomètres. 



Assermenté devant moi 



au 



de . .. 
dans la 



de 



le jour de 



(Signature) 



(commissaire aux affidavits, etc.] 



O. Reg. 32/89, s. 10, part. 



54 



O. Reg. 32/89 



THE ONTARIO GAZETTE 
Formule 7A 

Lx>i sur les clôtures de borna ge 

(Paragraphe II (8) ) 

AVIS bu SECRÉTAIRE AUX PARTIES (ATTESTATION) 



453 



Soyez avisé que trois inspecteurs des clôtures de cette localité se rendront de nouveau sur les lieux des biens-fonds 



décrits ci-dessous, le 



jour de 19 à pour déterminer si 



{nom du propriétaire à l'enconlre duquel est exécutée la sentence, auprès appelé le propriétaire A) 



s'est conformé 



aux directives de la sentence rendue le jour de 19 en ce qui concerne 



une clôture de bornage marquant a limite entre ses biens-fonds, soit 



(description suffisante des biens-fonds pour identifier la propriété, par l'adresse civique ou autrement) 



et les biens-fonds de . 



(nom du propriétaire qui/ait emoyer l'avis, d-aprés appelé le propriétaire B) 



(description suffisante des biens-fonds pour identifier la propriété, par l'adresse civique ou autrement) 



et s'ils constatent que 

(nom du propriétaire A) 
conformer aux directives de la sentence, lesdits inspecteurs des clôtures 



a fait défaut de se 



Radiez a ou b, 
selon le cas 



I. a. attesteront la valeur des travaux qui ont été effectués par. 



et qui, selon la sentence, auraient dû être eflëctués par 



b. détermineront la valeur des travaux effectués par 



(nom du propriétaire B) 



(nom du propriétaire A) 



(nom du propriétaire B) 



et attesteront le montant payable par 

comme étant sa part du coût des travaux; et 



(nom du propriétaire A) 



55 



454 THE ONTARIO GAZETTE O. Reg. 32/89 



fixeront les dépens des instances, y compris les dépens relatifs au premier examen de la clôture suite 
auquel la sentence a été rendue, et attesteront la fraction des dépens payables par 



(nom du propriétaire A) {nom du propriétaire B) 

et la somme totale attestée peut être recouvrée de 

fnotn du propriétaire A) 
de la même façon que les impôts municipaux ou qu'un montant accordé en vertu d'un jugement de la Cour des 
petites créances. 

Vous êtes par les présentes avisé que si vous faites défaut de vous présenter à l'heure et au lieu indiqués ci-dessus, 
les inspecteurs de clôtures peuvent procéder en votre absence et, sauf dispositions contraires de la Loi sur les 
clôtures de bomaiie . vous n'aurez droit à aucun autre avis durant l'instance. 

Le jour de 19 

AU : Propriétaire ou ocaipaiu avisé 

Secrétaire (ou autre personne désignée) 

L'article 5 de la Loi sur les clôtures de borna ge prévoit ce qui suit; 

Si l'occupant du bien-fonds qui n'en est pas le propriétaire reçoit l'avis donné en vertu de la présente loi. il 
en informe immédiatement le propriétaire. S'il néglige de ce faire, il est responsable du dommage qu'une 
telle négligence cause au propriétaire. 

O. Reg. 32/89, s. 10, part. 

Formule 8A 

Loi sur les clôtures de boma ee 

(Paragraphe 11 (8) ) 

AVIS DU SECRÉTAIRE AUX INSPECTEURS DES CLÔTURES (ATTESTATION) 

Soyez avisés que je désire que vous vous rendiez de nouveau sur les lieux des biens-fonds décrits ci-dessous le jour de 

19 à .pour déterminer si la sentence rendue le jour de 19 concernant 

la clôture de bornage entre les biens-fonds de 

(nom du propriétaire qui fait envoyer l'avis) 

soit (description siiffisanie des biens-fonds pour identifier la propriété, par l'adresse civique ou autrement) 



et des biens-fonds de 

(nom du propriétaire à l'encontre duquel est exéaitée la sentence) 

soit (description suflisante des biens-fonds pour identifier la propriété, par l'adresse civique ou autrement). 



a été exécutée pur ledit et, si 

(nom du propriétaire à l'encontre duquel est exéaitée la sentence ) 



56 



O. Reg. 32/89 THE ONTARIO GAZETTE 455 

wxis éV5 convaincus que lalii a négligé de se confonner à b sentence. 

Inom du propnÈtaàe à rencontre duquel est exécutée b sentence! 
ou que Tuccupunt de son bten-fonds s dûment été avisé conformément au paiagnphe II (I) ou (6). que vous fassiez une attestation aux ternies de 
l'jnide 12 de la Lu sur les dôni/rs Je borna ge. 

Le jour de 19 

Aux: /nspitteurs des tiôlurrs 

Secietaire 

(ou autre personne désignée) 

O. Reg. 32/89. s. 10. part. 



Formule 9A 

Loi sur les dônres de bomaee 
(Alinéa I2(l)(a)) 
CERTIFICAT DE DÉFAUT (TRAVAUX NON EXÉCUTÉS) 
Nous.lesinspeaeufsdesdô(uresde 



{lÊom de la municipalité^ 



ayant été appelés à déterminer si . 



(jKMi du proprittaire à Vencontre duquel est exécutée ht sentence) 
ci-après appelé le propriétaire A. a exécuté la senteiKe rendue le jour de 19 en ce qui concerne une 

dôiurede bornage entre ses bieis-fends. sod 



Idescripthn suffisante pour enregistrement au bureau d'enregistrement immobilier compéiera) 



et les biens-fonds de d-après 

(nom du propriétaire qui désire/aire exécuter la sentence) 

appelé le propriétaire B. soit 

I description suffisarue des bierafonds pour enregistrerttent au bureau d'entepstrerrtertt mmobUer compêleml 
après awir examine les biens-fonds et 3^ conformément à la Loi sur les clôtures de bomasge . attestons que: 

Le propriéuiire A a fail défaut d'exécuter la sentence rendue le jourde 19 en ce qui concerne urte 

dôiure de bonuge marquant la limite entre ses biens-fonds et les biens-fonds du propriétaire B. du fait qu'il (donnez les details du manguemeru ) : 



57 



456 THE ONTARIO GAZETTE O. Reg. 32/89 

Valeur des Nous certifions que la valeur des travaux qui ont été effectués par le propriétaire B 

travaux et qui, selon la sentence, auraient dû être elTectués par le propriétaire A est de : 



Montant Le montant payable par le propriétaire A au propriétaire B est attesté comme étant : 

attesté 



[dépens Les dépens relatifs aux instances sont fixés et répartis comme suit : 

Poste Montant 

Droits dus aux inspecteurs des clôtures pour cette comparution S 

Droits administratifs fixés par règlement en vertu du paragraphe 16a (1) de la loi $ 

Total des dépens $ 

Le propriétaire A devra payer % des dépens de ces instances, soit $ 

Le propriétaire B devra payer %des dépens de ces instances, soit $ 

Les paiements devront être effectués à 

(nom de la municipalité où sont situes les biens-fonds qui font l'objet de la sentence) 

Le jour de 19 

Sig nature du témoin Sig natures des inspecteurs des clôtures 



U. Reg. ,^-'/.S'). >. lu. part. 



58 



O. Reg. 32/89 THE ONTARIO GAZETTE 457 

Formule lOA 

Loi sur les clàlures de borna ge 
(Alinéa J2(IXb)) 

CEimncAT œ défaut irmement non versé) 



Nous, les inspecteurs des clôtures de , 

{nom de la localité) 

ayant été appelés à déterminer si 

{nom du propriétaire à rencontre duquel est exécutée la senterKe) 

ci-après appelé le propriétaire A, a exécuté la sentence rendue le lourde 19 , en ce qui concerne 

la clôture de bornage entre ses biens-fonds, soit 

(description suffisante pour enregistrement au bureau d'enregistremeni immobilier cttmpélentt 

et les biens-fonds de 

{nom du propriétaire qui désire/aire exécuter la sentence) 

ci-aptés appelé le prupriétaire B, soit 

(description suffisante des biera-fonds pour enrepstrement au bureau d'ervegistremeru immobdier compétent) 
après avoir examiné les biens-fonds et agi conformément à la Im sur les clôtures de borna ge, attestons que : 

Le propriétaire A a fait défaut d'exécuter la senterxx rendue le jour de 19 en ce qui concerne une 

clôture de bonuge marquant b limite entre ses biens-fonds et les biens-Tonds du propriétaire B, du fait qu'il {donnez les détails du man Q uemeni ) : 



La valeur totale des travaux effectués par le propriétaire B conformément à la sentence est de 



La fraction du coût des travaux imputable au propriétaire A. 

comme il est indique dans la sentence des inspecteurs des clôtures, estde % 

I par exemple : la moitié ou toute autre fraction précisée dans la sentence). 

Montant Nous attestons que le nwntant payable par le propriétaire A au propriétaire B comme étant la pan du coût des 

attesté travaux du propriétaire A est de 



Dépens Les dépens relatifs aux instances sont fixés et répartis comme suit : 

Poste Montant 
Droits dus aux inspecteurs des clôtures pour cette comparution 



Droits administratifs fixés par règlement en vertu 

du paragraphe 16a (1) de la loi $ 

Total des dépens S 



59 



458 THE ONTARIO GAZETTE O. Reg. 32/89 

Le propriétaire A devra payer % des dépens totaux de ces instances, soit $ 

Le propriétaire B devra payer % des dépens totaux de ces instances, soit $ 

Les paiements devront être effectués à 

(nom de la municipalité où sont situés les biens-fonds qui font l'objet de la sentence) 

Le jour de 19 

Sig nature du témoin Sig natures des inspecteurs des clôtures 



O. Reg. 32/89, s. 10, part. 



Formule IIA 

Loi sur les clôtures de borna ge 

(Paragraphe 12(8)) 

AVIS t)U TRÉSORIER DU MONTANT DÛ À LA MUNICIPALITÉ 
PAR LE PROPRIÉTAIRE EN DÉFAUT 

Soyez avisé que le montant de $ a été versé à même les fonds généraux de la corporation de 

(ville, village, etc., selon le cas) de (nom de la municipalité) à (nom du propriétaire à qui le trésorier 

a versé le paiement, ci-après appelé le propriétaire A) le jour de 19 en rapport avec un montant que vous devez à 

(nom du propriétaire A) en vertu d'un certificat de défaut daté du jour de 19 

Le montant ainsi que les intérêts accrus sur celui-ci au taux de %, à partir du (date du paiement par le trésorier indiquée ci-dessus), 

sont maintenant dus et payables par vous à ladite corporation. 

Le montant a été inscrit au rôle de perception des impôts et peut être recouvré, ainsi que les intérêts afférents, de la même façon que 
des impôts et, jusqu'à ce qu'il soit recouvré, il grève votre bien-fonds. 

A : (Propriétaire en défaut) 



Trésorier municipal 

O. Reg. 32/89, >. U). pavt . 



60 



O. Reg. 32/89 



THE ONTARIO GAZETTE 
Formule 12A 

Loi sur les clôtures de borna ge 

(Paragraphe 13(6) ) 

DÉCISION AVEC DIRECTIVES 



459 



Nous, les inspecteurs des clôtures de 
ayant été appelés à déterminer si 



(nom de ta localité) 



{nom du propriétaire à rencontre duquel est exécutée la sentence) 

ci-après appelé le propriétaire A, a exécuté la sentence rendue le jour de 19 en ce qui concerne la clôture 

de bornage entre ses bien-fonds, soit 



et les biens-fonds de 



(description suffisante des biens^onds pour identifier la propriété, par l'addresse civique ou autrement) 
{nom du propriétaire qui désire/aire exécuter la sentence) 



ci-après appelé le propriétaire B. soit 

/description suffisante des biens-fonds pour identifier la propriété, par l'adresse civique ou autrement) 
après avoir examiné les biens-fonds et agi conformément à la Loi sur les clôtures de borna ge, attestons que : 

Le propriétaire A a fait défaut d'exécuter la sentence rendue le jour de 19 en rapport avec une clôture de 

borruge marquant la limite entre ses biens-fonds et les biens-fonds du propriétaire B, du fait que { donnez les détails du man ti tiement ) : 



Le propriétaire A devra prendre les mesures suivantes pour rendre les travaux conformes à la sentence: { indiquez les mesures nécessaires 
i xHir rendre les travaux itmtimnes ) 



Les travaux commenceront au plus tard le jour de 

jour de 19 

Les dépens relatifs aux instances sont fixés et répartis comme suit : 

Poste 

Droits dus aux inspecteurs des clôtures cette comparution 

Droits administratifs fixés par règlement en vertu 
du paragraphe 16a(l) de la loi 

Total des dépens 



19 et se termineront au plus tard le . 



Montant 



61 



460 THE ONTARIO GAZETTE O. Reg. 32/89 

Le propriétaire A devra payer % des dépens totaux de ces instances, soit $ 

Le propriétaire B devra payer % des dépens totaux de ces instances, soit $ 

Les paiements devront être effectués à 

(nom de la municipalité où sont situés les biens-fonds qui font l'objet de la sentence) 

Le jour de 19 

(Signature du témoin) (Signatures des inspecteurs des clôtures) 



O. Refî. 32/8y, s. 10, pari. 



Formule DA 

Loi sur les clôtures de boma ee 

(Paragraphe 14(1) ) 

DROITS À VERSER AUX INSPECTEURS EN LABSENCE DE SENTENCE, DE CERTIFICAT ETC. 

Nous, les inspecteurs des clôtures de 

(nom de la localité) 
ayant été avisés aux termes du paragraphe (cochez la case appropriée) 

□ 4(2) D 11(8) n D(5) D 13(7) 

de la loi en ce qui concerne une clôture de bornage entre les biens-fonds de 

(nom du propriétaire contre lequel l'instance a été introduite) 

ci-après appelé le propriétaire A, soit 

(description suffisante des biens-fonds pour identifier la propriété, par t'adresse civique ou autrement) 

et les biens-fonds de 

(nom du propriétaire qui a introduit l'instance) 

ci-après appelé le propriétaire B, soit , 

(description suffisante des biens-fonds pour identifier la propriété, par l'adresse civique ou autrement) 
nous sommes rendus sur les lieux et avons décidé comme suit : 

m aucune sentence D aucune certificat D décision avec directives 

aux motifs suivants: { indi q uez brièvement mais clairement les motifs de la décision ) 



62 



O. Reg. 32/89 



THE ONTARIO GAZETTE 



Les dépens relatil's aux instances sont fixés et répartis comme suit: 

Poste 

Droits dus aux inspecteurs pour cette inspection 

Droits administratifs fixés par règlement en vertu 
du paragraphe 16a(l) de la loi 

Total des dépens 

Le propriétaire A devra payer % des dépens totaux de ces instances, soit S 

Le propriétaire B devra payer % des dépens totaux de ces instances, soit S 

Les paiements doivent être effectués à 



461 



Montant 



(nom de la municipalité où sont sittiès /« biens-fonds qui font l'objet de la sentence) 

Le jour de 19 



(Signature du témoin) 



(Signatures des inspecteurs des clôtures) 



Formule MA 

Loi sur les clôtures de borna ge 
(article 16) 
ACCORD 



O. Reg. 32/8'J. .-. lU. part. 



propnetaire 



et je. 



propriétaire 



(nom du propriétaire) 



/description suffisante des biens-fonds pour enregistrement au bureau d'enregistrement immobilier compétent) 



(nom du propriétaire du bienfonds contigu) 



/description suffisante des bierts-fonds pour eruegistremeni au bureau d'enregistrement immobilier compétent) 



Veuillez cocher les cases appropriées: 



1. D De construire, entretenir et maintenir en place une clôture pour marquer la limite entre les biens- 
fonds contigus décrits ci-dessus. 

63 



462 THE ONTARIO GAZETTE O. Reg. 32/89 



D De (insérez «réparer» ou «reconstruire», le cas échéant), entretenir et garder en place la clôture marquant 
la limite entre les biens-fonds contigus décrits ci-dessus. 

Remplir «) ou A). 2. a) sera responsable de la partie de la clôture 

selon le cas 

commençant 

(description du point) 



et se terminant 

(description du point) 

et pour la partie de la clôture commençant 

(description du point) 



et se terminant '. 

(description du point) 



b) sera responsable de tous les travaux en rapport 

(nom du propriétaire responsable de toute la clôture) 

avec la clôture sumentionnée et % du coût de ces travaux lui seront versés par 

sur avis de ce montant donné conformément à la Loi sur les clôtures de borna ge. 

3. La clôture répondra à la description suivante 

(indiquez le genre de clôture, la hauteur, les matériaux utilisés, etc.) 

4. Les travaux commenceront au plus tard le jour de 19 ... , 

et se termineront au plus tard le jour de 19 . . . 

Le jour de 19 

(Signature du témoin) (Signatures des parties) 



O. Reg. 32/89. .s. 10. part. 



64 



O. Reg. 32/89 THE ONTARIO GAZETTE 463 

Formule 15A 

Loi sur les clôtures de boma gf 

(Paragraphe 22(3)) 

ACCORD 
(une municipalité ou un conseil local est une partie) 



La corporation de (ville, village, etc. selon le cas) de la . 

(nom de la munidpaliié). [ou kxsqu'il s'agit d'un conseil local] 



(nom du conseil hcal) 



propnetaire 

/descriplion suffisante des biens-fionds pour enregistrement au bureau d'enregistrement immobilier compétent) 



{nom du propriétaire du bien-fonds œntigu) 

propnétaife convenons: 

I description suffisante des biens-fonds pour emegistremera au bureau d'enregistrement immobilier compétent) 



Veuillez cocher les cases appropriées : 



I . a De constniire, maintenir et garder en place une clôture pour marquer la limite entre les biens-fonds 
contigus décrits ci-dessus. 



D De {insérez «réparer» ou «reconstruire», le cas échéant), entretenir et garder en place la clôture 
marquant la limite entre les biens-fonds contigus décrits ci-dessus. 

Remplira) ou 6), 2. (a) La corporation de (indiquez la municipalité susmentionnée) (ou. $11 y a lieu, le (nom du conseil 

selon le cas 

local» sera responsable de la partie de la clôture 



commençant 

{description du point) 



et se lermiriiint 

{description du point) 



et pour la partie de la dôiure commençant 

{description du point) 



et se terminant 

{description du point) 



65 



464 



THE ONTARIO GAZETTE 



O. Reg. 32/89 



b) sera responsable de tous les travaux en rapport 

(nom du propriétaire responsabile de toute la clôture) 

avec la clôture susmentionnée et % du coût de ces travaux lui seront versés par 

sur avis de ce montant donné conformément à la Loi sur les clôtures de borna ge. 



3. La clôture répondra à la description suivante . 



(indiquez le genre de clôture, la hauteur, les matériaux utilisés, etc.) 

4. Les travaux commenceront au plus tard le jour de 19 . . ., et se 

termineront au plus tard le jour de 19 . . . 



Le jour de. 



19. 



(Signatures des parties) 

•La corporation de 
(indiquez la municipalité susmentionnée) 



par 



(Signature du témoin) 
* Apposez le sceau 
** Apposez le sceau du conseil local, s'il en est 



Dated at Toronto, this 12th day of January, 1989. 



*[ou, s'il a lieu, le (nom du conseil local) 

par ] 

par . . , ] 

(Signature de l'autre partie) 



O. Reg. 32/89, s. 10, part. 



John Eakins 
Minister of Municipal Affairs 



5/89 



66 



THE ONTARIO GAZETTE 465 

INDEX 5 



GOVERNMENT NOTICES 



Criminal Code '. 341 

Motor Vehicle Transport Act, 1987 342 

Certificates of Incorporation 353 

Letters Patent of Incorporation Issued 371 

Certificates of Amalgamation 372 

Certificates of Continuance 374 

Transfer of Ontario Corporations 374 

Restated Certificates of Incorporation 374 

Amendments to Articles 374 

Articles of Revival 380 

Supplementary Letters Patent Issued 380 

Orders Reviving Corporate Powers 380 

Extra-Provincial Licences Endorsed 380 

Certificates of Dissolution 381 

Decisions on Applications for Audit Exemption 381 

Surrender of Charter and Termination of Existence (Corporations Act) 382 

Notice of Default in Complying with the Corporations Tax Act 382 

Notice of Default in Filing Notice (Corporations Act) 387 

Cancellation of Certificates of Incorporation (Corporations Tax Act Defaulters) 387 

Errata 387 

Change of Name Act 388 

Petitions to Provincial Parliament 397 

Applications to Provincial Parliament — Private Bills 397 

Applications to Provincial Parliament 398 

CORPORATION NOTICES 400 

NOTICE TO CREDITORS 403 

DISSOLUTION OF PARTNERSHIP 403 

MISCELLANEOUS NOTICES 404 

SHERIFFS' SALES OF LANDS 404 

SALES OF LANDS FOR TAX ARREARS BY TENDER 405 

SALE OF LANDS FOR TAX ARREARS BY PUBLIC AUCTION 406 

PUBLICATIONS UNDER THE REGULATIONS ACT 

Dangerous Goods Transportation Act, 1981 O. Reg. 22/89 425 

Environmental Assessment Act O. Reg. 16/89 420 

Environmental Assessment Act O. Reg. 17/89 422 

Environmental Assessment Act O. Reg. 18/89 422 

Farm Products Marketing Act O. Reg. 31/89 444 

Freedom of Information and Protection of Privacy Act, 1987 O. Reg. 15/89 419 

Fuel Tax Act, 1981 O. Reg. 10/89 409 

Highway Traffic Act O. Reg. 19/89 423 

Highway Traffic Act O. Reg. 20/89 423 

Highway Traffic Act O. Reg. 21/89 424 

Highway Traffic Act O. Reg. 23/89 426 

Line Fences Act O. Reg. 32/89 445 

Ontario Guaranteed Annual Income Limit Act O. Reg. 11/89 409 

Ontario Home Ownership Savings Plan Act, 1988 O. Reg. 13/89 410 

Public Commercial Vehicles Act O. Reg. 24/89 426 

Race Tracks Tax Act, 1988 O. Reg. 14/89 418 

Tobacco Tax Act O. Reg. 12/89 409 

Truck Transportation Act, 1988 O. Reg. 25/89 427 

Truck Transportation Act, 1988 O. Reg. 26/89 431 

Truck Transportation Act, 1988 O. Reg. 27/89 434 

Truck Transportation Act, 1988 O. Reg. 28/89 437 

Truck Transportation Act, 1988 O. Reg. 29/89 440 

Truck Transportation Act, 1988 O. Reg. 30/89 441 



466 THE ONTARIO GAZETTE 




REGULATION MADE UNDER 
THE OFFICIAL NOTICES PUBLICATION ACT 

The Ontario Gazette is published each Saturday and advertisements must be received before 
Thursday 4 p.m. 9 days before publication date to ensure inclusion in the next issue. 

Advertisements should be typewritten or printed legibly, separate from covering letter. Number of 
insertions required must be stated and the names of any signing officers typewritten or printed. 

Advertising Rate: $11.45 per-single column 25 mm. 



The rates payable for copies of The Ontario Gazette are, 

by subscribers for a subscription of 52 weekly issues, $69.00 and 
by others for a single copy, $L50 Payable in advance. 

Rates subject to change without notice. 



The above subscription rate includes book rate mailing. 
For 1st class mail service please add $52.00. 



Cheques should be made payable to THE TREASURER OF ONTARIO and 
forwarded to THE ONTARIO GAZETTE. 

All correspondence should be addressed: 

The Ontario Gazette 

5th Floor, 880 Bay Street, Toronto, Ontario M7A 1N8 
Telephone 965-2238 

Please notify the Gazette Office of any address changes. 



NE^f^■NEWfNE^WŒÏ^NEWf^Œ>H^^IE^^NE^^^ŒWf^Œ5^NEW+N^ 

f ran PUBLICATIONS ONTARIO 



T.TMTTRn PARTNERSHIP ACT and RE3GUIATIC»Î 578, S^Jt. 88 $ 2.50 

REGULATIŒÎ 262/80, Education Act, Bilingual, S^>t. 88 1.25 

♦PESTICIDES ACT and REGUIATIC»^ 751/80, Oct. 88 4.00 

*FUBLIC HOSPITAIS ACT and RBGUIATI(»4S , S^ït. 88 4.50 

♦PESiraNITAL RENT RBGUIATIO^ ACT 1986 and REGUIATIONS 

Oct. 88 9.00 

ŒSA and WHMIS RBGUIATIC»r, Dec. 88 50 
ANNUAL REPCX?r: Ministry of the Attorney General 

Bilingual, 86-87 10.00 
RAPPOT ANNUEL: Offices des affaires frana^iiones 

bilingue, 87-88 3.00 
ASSESSING IMPACT, An Economic Inpact Model for 

Municipal RecreatiCTi, 1988 20.00 

DRUG BENEFIT FC»MUIARY, Bilingual Editicai 1.00 
IE FHENOffiNE DES DECPOOmJPS DANS I£S EOOIES 

SEOamAIRES DE L'ONTARIO 10.50 

C^TTARIO lABOUR REIATIOiS BOARD REPCX?rS, Oct. 88 6.25 

GBODDGY AND SCENERY, North Shore of Lake Huron Region 2.00 

PROVINCIAL AUDITŒ^, Annual R^XDrt 1988 4.00 

ONTARIO EÎŒRGY BOARD, ReascaTS for Decisicxi - Ccaisuiners 

Gas - EBRD 452 14.00 
Advisory Conmittee on SUBSmUTE EECISIOT MAKING for 

MENTALLY INCAPABLE PERSOÏS 15.00 
CKTARIO'S MINES and MINERALS POLICY and lEGISIATIOÎ: 

A Green P^jer 5.00 
LA POUTTQUE ET lA lEGISIATION œ L'OITARIO, En 

matière de mines et de minéraux, une livre vert 5.00 

OTIARIO NIAGARA PARKS PLANNING: The SecŒid Century 39.00 

SELECT COMMUTEE CH EDUCATION: First R^XDrt 3.50 

FIRE CODE, Feb. 1987 13.00 
CMTARIO ASSESSMENT INSTRUMENT POOL: French as a 

second language 15.00 

ENJOYING RESEARCH? 10.00 

INTRODUCITC^ TO OO^MUNITY PLANNING, Bilingual editicxi 7.50 

*Bilingual office consolidât icais with English cxily regulations. 

2/89 
For personal shocking: For mail orders: 

Publications Ontario Bookstore Publicaticxis Ontario 
880 Bay Street, Toronto 5th Floor, 880 Bay Street 

9am-5pm, Monday to Friday Toronto, Ontario, M7A 1N8 

Telefione: 965-2054 (416) 965-6015; 1-800-268-7540 

Area code 807-0 Zenith 67200 



O. Reg. 33/89 



THE ONTARIO GAZETTE 



O. Reg. 34/89 523 



Publications Under The Regulations Act 



February 11th, 1989 



HEALTH INSURANCE ACT 

O. Reg. 33/89. 

General. 

Made — Januar>- 18th, 1989. 

Filed— Januar>- 23rd. 1989. 



REGULATION TO AMEND 

REGULATION 452 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

HEALTH INSURANCE ACT 

Item 56 of Part I of Schedule 9 to Reg- 
ulation 452 of Revised Regulations of 
Ontario, 1980 is revoked and the fol- 
lowing substituted therefor: 



56. 



6/89 



Sault 
Ste. 



Marie 



Sault Physiotherapy 
Centre 



CROP INSURANCE ACT (ONTARIO) 

O. Reg. 34/89. 

Crop Insurcince Plan — Peaches. 
Made — December 20th. 1988. 
Approved — Januar>- 18th, 1989. 
Filed— Januan,' 23rd, 1989. 



REGULATION TO AMEND 

REGULATION 215 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

CROP INSURANCE ACT (ONTARIO) 

1.— (1) Clause 7 (c) of the Schedule to 
Regulation 215 of Revised Regulations 
of Ontario, 1980 is amended by striking 
out "20th" in the second line and 
inserting in lieu thereof "1st". 

(2) Subsection 8 (2) of the said Schedule is 
amended by striking out "20th" in the 
third line and inserting in lieu thereof 
"1st". 



(3) Clause 10 (3) (a) of the said Schedule, 
as remade by section 1 of Ontario Reg- 
ulation 38/83, is amended by striking 
out "20th" in the second line and 
inserting in lieu thereof "1st". 

(4) Subsection 10 (4) of the said Schedule 
is revoked. 

(5) Subsection 13 (2) of the said Schedule 
is revoked and the following substi- 
tuted therefor: 

(2) Where a premium is payable in respect of a crop 
year, the insured person shall pay the premium less the 
premium deposit to the Commission at the time the 
production guarantee report prescribed by section 14 is 
returned to the Commission. 

(6) Subsection 13 (3) of the said Schedule 
is amended by striking out "20th" in 
the third line and inserting in lieu 
thereof "1st". 

2. Paragraph 6 of Form 1 of the said 
Regulation, as amended by section 6 of 
Ontario Regulation 676/86, is revoked 
and the following substituted therefor: 

6.— (1) Where, 

(a) loss of the insured crop occurs; or 

(b) the insured crop or any part thereof is, or is 
intended to be, sold on a pick-your-own 
basis, 

the insured person shall notify the Commission in 
writing as soon as the damage occurs in order that a 
pre-harvest inspection may be made. 

(2) Where the insured person fails to notif\- the 
Commission pursuant to subparagraph (1), a claim by 
the insured person is invalid and the insured person's 
right to indemnity is forfeited. 

The Crop Insurance Commission of 
Ontario: 

Gordon Hill 
Chairman 

Daniela Scerni 
Secretary 

Dated at Toronto, this 20th day of December, 1988. 



6/89 



67 



524 O. Reg. 35/89 



THE ONTARIO GAZETTE 



O. Reg. 36/89 



CROP INSURANCE ACT (ONTARIO) 

O. Reg. 35/89. 

Crop Insurance Plan — Sweet Cherries. 
Made— December 20th, 1988. 
Approved — January 18th, 1989. 
Filed— January 23rd, 1989. 



REGULATION TO AMEND 

REGULATION 224 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

CROP INSURANCE ACT (ONTARIO) 

1. — (1) Clause 7 (c) of the Schedule to 
Regulation 224 of Revised Regulations 
of Ontario, 1980 is amended by striking 
out "20th" in the second line and 
inserting in lieu thereof "1st". 

(2) Subsection 8 (2) of the said Schedule is 
amended by striking out "20th" in the 
third line and inserting in lieu thereof 
"1st". 

(3) Clause 10 (3) (a) of the said Schedule, 
as remade by section 1 of Ontario Reg- 
ulation 41/83, is amended by striking 
out "20th" in the second line and 
inserting in lieu thereof "1st". 

(4) Subsection 10 (4) of the said Schedule 
is revoked. 

(5) Subsection 13 (3) of the said Schedule 
is amended by striking out "20th" in 
the third line and inserting in lieu 
thereof "1st". 

2. Paragraph 6 of Form 1 of the said 
Regulation, as amended by section 2 of 
Ontario Regulation 10/85, is revoked 
and the following substituted therefor: 

6.— (1) Where, 

(a) loss of the insured crop occurs; or 

(b) the insured crop or any part thereof is, or is 
intended to be, sold on a pick-your-own 
basis, 

the insured person shall notify the Commission in 
writing as soon as the damage occurs in order that a 
pre-harvest inspection may be made. 



(2) Where the insured person fails to notify the 
Commission pursuant to subparagraph (1), a claim by 
the insured person is invalid and the insured person's 
right to indemnity is forfeited. 

The Crop Insurance Commission of 
Ontario: 

Gordon Hill 
Chairman 

Daniela Scerni 

Secretary 

Dated at Toronto, this 20th day of December, 1988. 
6/89 



CROP INSURANCE ACT (ONTARIO) 

O. Reg. 36/89. 
Crop Insurance Plan — Plums. 
Made — December 20th, 1988. 
Approved — January 18th, 1989. 
Filed — January 23rd, 1989. 



REGULATION TO AMEND 

REGULATION 219 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

CROP INSURANCE ACT (ONTARIO) 

1.— (1) Clause 7 (c) of the Schedule to 
Regulation 219 of Revised Regulations 
of Ontario, 1980 is amended by striking 
out "20th" in the second line and 
inserting in lieu thereof "1st". 

(2) Subsection 8 (2) of the said Schedule is 
amended by striking out "20th" in the 
third line and inserting in lieu thereof 
"1st". 

(3) Clause 10 (3) (a) of the said Schedule, 
as remade by section 1 of Ontario Reg- 
ulation 40/83, is amended by striking 
out "20th" in the second line and 
inserting in lieu thereof "1st". 

(4) Subsection 13 (3) of the said Schedule 
is amended by striking out "20th" in 
the third line and inserting in lieu 
thereof "1st". 



68 



O. Reg. 36/89 



THE ONTARIO GAZETTE 



O. Reg. 38/89 525 



The Crop Insurance Commission of 
Ontario: 

Gordon Hill 
Chairman 

Daniela Scerni 
Secretary 

Dated at Toronto, this 20th day of December, 1988. 
6/89 

COURTS OF JUSTICE ACT, 1984 

O. Reg. 37/89. 

Rules of the Provincial Court 

(Fîunily Division). 
Made — December 13th, 1988. 
Approved — ^Januar>' 18th, 1989. 
Filed— January- 23rd, 1989. 



REGULATION TO AMEND 

REGULATION 810 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

COURTS OF JUSTICE ACT, 1984 

1. Subrule 82 (1) of Regulation 810 of 
Revised Regulations of Ontario, 1980, 
as remade by section 2 of Ontario Reg- 
ulation 387/87, is revoked and the fol- 
lowing substituted therefor: 

(1) The notice of garnishment shall be served on the 
garnishee and the debtor in accordance with rule 13 or 
by sending a copy by ordinary- mail addressed to the 
person to be served. O. Reg. 37/89, s. 1. 



6/89 



PARKWAY BELT PLANNING AND 
DEVELOPMENT ACT 

O. Reg. 38/89. 

County of Halton (now The Regionsil 

Municipality of Halton), City of 

Burhngton. 
Made— January 17th, 1989. 
Filed— January 25th, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 482/73 

MADE UNDER THE 

PARKWAY BELT PLANNING AND 

DEVELOPMENT ACT 

1. Ontario Regulation 482/73 is amended 
by adding thereto the following section: 

134. — (1) Notwithstanding any other provision of 
this Order, the vacant residential structure existing on 
the land described in subsection (2) on the 1st day of 
December. 1988 may be converted into public wash- 
room facilities and may be used in conjunction with 
the botanical garden facilities situate on the land. 

(2) Subsection ( 1) applies to that parcel of land in 
the City of Burlington in The Regional Municipality of 
Halton, formerly in the Township of East Flam- 
borough in the County of Wentworth, being that part 
of Lot 13 in Concession I described as follows: 

Beginning at the intersection of the westerly limit of 
Lot 13 in Concession I and the southeasterly limit of 
the right-of-way of the Canadian National Railway; 

Thence southerly along the westerly limit of the Lot, 
200 metres; 

Thence easterly at right angles from the said west- 
erly limit to the southerly limit of Plains Road; 

Thence westerly along the southerly limit of Plains 
Road to the southeasterly limit of the right-of-way of 
the Canadian National Railway; 

Thence westerly along the southeasterly limit of the 
said right-of-way to the place of beginning. O. Reg. 
38/89, s. 1. 

L. J. FiNCHAM 

Director 

Plans Administration Branch 

Central and Southwest 

Ministry of Municipal Affairs 



Dated at Toronto, this 17th day of January, 1989. 
6/89 



69 



526 THE ONTARIO GAZETTE O. Reg. 39/89 

HEALTH INSURANCE ACT 

O. Reg. 39/89. 

General. 

Made — January 27th, 1989. 

Filed— January 27th, 1989. 



REGULATION TO AMEND REGULATION 452 OF 

REVISED REGULATIONS OF ONTARIO, 1980 
MADE UNDER THE HEALTH INSURANCE ACT 

1. Item 12 of Table IB of Regulation 452 of Revised Regulations of Ontario, 1980, as 
made by section 1 of Ontario Regulation 652/88, is revoked and the following substi- 
tuted therefor: 

12. On or after the 1st day of 
November, 1 988 but before 
the 1st day of February, 

1989 671.47 22.08 968.26 31.83 1,639.73 53.91 

13. On or after the 1st day of 

February, 1989 678.47 22.31 961.26 31.60 1,639.73 53.91 

2. Items 7zg, 13zg, 19zg, 25zg, 31zg and 70 of Table 2 of the said Regulation, as made by 
section 2 of Ontario Regulation 652/88, are revoked and the following substituted 
therefor: 



70 



O. Reg. 39/89 



THE ONTARIO GAZETTE 



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71 



528 O. Reg. 40/89 



THE ONTARIO GAZETTE 

NURSING HOMES ACT 

O. Reg. 40/89. 

General. 

Made — January 27th, 1989. 

Filed — January 27th, 1989. 



O. Reg. 41/89 



REGULATION TO AMEND REGULATION 690 OF 
REVISED REGULATIONS OF ONTARIO, 1980 
MADE UNDER THE NURSING HOMES ACT 

Item 34 of Table 1 of Regulation 690 of Revised Regulations of Ontario, 1980, as made 
by section 1 of Ontario Regulation 653/88, is revoked and the following substituted 
therefor: 



34. On or after the 1st day of November, 1988, 
but before the 1st day of February, 1989. 

35. On or after the 1st day of February, 1989. 
6/89 



$671.47 
$678.47 



$22.08 
$22.31 



MOTORIZED SNOW VEHICLES ACT 



41/89. 



O. Reg. 

General. 

Made — January 27th, 1989. 

Filed— January 27th, 1989. 



REGULATION TO AMEND 

REGULATION 669 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

MOTORIZED SNOW VEHICLES ACT 



1. Regulation 669 of Revised Regulations 
of Ontario, 1980 is amended by adding 
thereto the following section: 

25. Sections 2 and 1 1 of the Act do not apply to 
competitors in the Jeep 500 International Snowmobile 
Race held on the 28th day of January, 1989 who do not 
reside in Ontario. 

2. Section 25 of the said Regulation, as 
made by section 1 of this Regulation, is 
revoked on the 29th day of January, 
1989. 

6/89 



72 



THE ONTARIO GAZETTE 529 

INDEX 6 



GOVERNMENT NOTICES 



Motor Vehicle Transport Act, 1987 469 

Certificates of Incorporation 478 

Letters Patent of Incorporation Issued 498 

Certificates of Amalgamation 499 

Certificates of Continuance 500 

Transfer of Ontario Corporations 500 

Restated Certificate of Incorporation 500 

Amendments to Articles 500 

Articles of Revival 505 

Supplementary Letters Patent Issued 505 

Orders Reviving Corporate Powers 505 

Extra-Provincial Licences Endorsed 506 

Certificates of Dissolution 506 

Notice of Default in Complying with the Corporations Tax Act 507 

Erratum 511 

Applications to Provincial Parliament — Private Bills 511 

Petitions to Provincial Parliament 512 

Applications to Provincial Parliament 512 

CORPORATION NOTICES 514 

MISCELLANEOUS NOTICES 518 

SALES OF LANDS FOR TAX ARREARS BY PUBLIC TENDER 519 

PUBLICATIONS UNDER THE REGULATIONS ACT 

Courts of Justice Act, 1984 O. Reg. 37/89 525 

Crop Insurance Act (Ontario) O. Reg. 34/89 523 

Crop Insurance Act (Ontario) O. Reg. 35/89 524 

Crop Insurance Act (Ontario) O. Reg. 36/89 524 

Health Insurance Act O. Reg. 33/89 523 

Health Insurance Act O. Reg. 39/89 .'. 526 

Motorized Snow Vehicles Act O. Reg. 41/89 528 

Nursing Homes Act O. Reg. 40/89 528 

Parkway Belt Plaiming and Development Act O. Reg. 38/89 525 

Regulation under the Automobile Insurance Act (Addendum to Vol. 122-6) 



530 THE ONTARIO GAZETTE 




REGULATION MADE UNDER 
THE OFFICIAL NOTICES PUBLICATION ACT 

The Ontario Gazette is published each Saturday and advertisements must be received before 
Thursday 4 p.m. 9 days before publication date to ensure inclusion in the next issue. 

Advertisements should be typewritten or printed legibly, separate from covering letter. Number of 
insertions required must be stated and the names of any signing officers typewritten or printed. 

Advertising Rate: $11.45 per-single column 25 mm. 



The rates payable for copies of The Ontario Gazette are, 

by subscribers for a subscription of 52 weekly issues, $69.00 and 
by others for a single copy, $1.50 Payable in advance. 

Rates subject to change without notice. 



The above subscription rate includes book rate mailing. 
For 1st class mail service please add $52.00. 



Cheques should be made payable to THE TREASURER OF ONTARIO and 
forwarded to THE ONTARIO GAZETTE. 

All correspondence should be addressed: 

The Ontario Gazette 

5th Floor, 880 Bay Street, Toronto, Ontario M7A 1N8 
Telephone 965-2238 

Please notify the Gazette Office of any address changes. 



f ran PUBLICATIONS ONTARIO 



T.TMTTFD PARINERSHIP ACT and RBGUIATiaî 578, S^Jt. 88 $ 2.50 

RBGUIATIŒ^ 262/80, Education Act, Bilingual, S^t. 88 1.25 

♦PESTICIDES ACT and REGUIÀTIOÎ 751/80, Oct. 88 4.00 

♦PUBLIC HOSPITALS ACT and PBGUIATIŒ^S, S^ît. 88 4.50 

♦RESIDENTIAL RENT RBGUIÀTIŒI ACT 1986 and RBGUIATICWS 

Oct. 88 9.00 

OHSA and WHMIS REGUIATIC^I, Dec. 88 1.50 
ANNUAL REPORT: Ministry of the Attorney General 

Bilingual, 86-87 10.00 
RAPPORT ANNUEL: Offices des affaires francophones 

bilingue, 87-88 3.00 
ASSESSING IMPACT, An Economie Inpact Model for 

Municipal Recreation, 1988 20.00 

IMX; BENEFIT FORMULARY, Bilingual Editicai, (taxable) 1.00 
I£ PHENOMENE DES DECROCHEURS DANS lES EOOIES 

SEOOCIAIRES DE L'OTTARIO 10.50 

CKTARIO IÀBOUR RELATIONS BOARD REPORTS, Oct. 88 6.25 

GEOLOGY AND SCENERY, North Shore of Lake Huron Region 2.00 

PROVINCIAL AUDITOR, Annual R^XDrt 1988 4.00 
ONTARIO ENERGY BOARD, Reasons for Decisicxi - Consumers 

Gas - EBRD 452 14.00 
Advisory Comnittee on SUBSTTIUTE DECISIC»^ MAKING for 

MENTALLY INCAPABLE PERSCX^S 15.00 
ONTARIO'S MINES and MINERAIS POLICY and lEGISIATICW: 

A Green Paper 5.00 
lA POLITIQUE ET IÀ lEGISIATIC^ DE L'OTTARIO, En 

matière de mines et de minéraux, une livre vert 5.00 

ONTARIO NIAGARA PARKS PLANNING: Ihe Second Century 39.00 

SELECT COMMUTEE ΠEDUCATION: First R^XDrt 3.50 

FIRE CODE, Feb. 1987 13.00 
OTTARIO ASSESSMENT INSTRUMENT POOL: French as a 

second language 15.00 

ENJOYING RESEARCH? 10.00 

INTRODUCTION TO OCM^UNITY PLANNING, Bilingual edition 7.50 



♦Bilingual office consolidations with English only regulatiois. 

2/89 
For personal shc^ping: For mail orders: 
Publications Ontario Bookstore Publications Ontario 
880 Bay Street, Toronto 5th Floor, 880 Bay Street 
9am-5pm, Monday to Friday Toronto, Ontario, M7A 1N8 
Telej*ione: 965-2054 (416) 965-6015; 1-800-268-7540 

Area code 807-0 Zenith 67200 



O. Reg. 42/89 



THE ONTARIO GAZETTE 



O. Reg. 43/89 659 



Publications Under The Regulations Act 



Februan 18th. 1989 



HOMKS FOR THK AGKD AND 
RKST HOMKS ACT 

O. Reg. 42/89. 

General. 

Made — Januar>' 27th, 1989. 

Filed— Januan- 30th, 1989. 



REGULATION TO AMEND 

REGULATION 502 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

HOMES FOR THE AGED AND 

REST HOMES ACT 

1. Clause 30 (4) (a) of Regulation 502 of 
Revised Regulations of Ontario, 1980 
is revoked and the following substi- 
tuted therefor: 

(a) 70 per cent of. 

(i) that part of the cost of residential care 
that is not paid for by the residents. 

(ii) an> part of the basic rate in Column 2 
set out opposite the date the service 



was provided in Column 1 of Table 1 
that cannot be paid by the resident for 
extended care services. 



(ill) any part of the cost that exceeds the 
ceiling for extended care services in 
Column 3 set out opposite the date the 
ser\ice was provided in Column 1 of 
Table 1 if that cost is less than or 
equal to the average extended care per 
diem cost for all homes during the 
previous calendar year, 

(iv) the amount by which the pre\-ious 
year's cost exceeded the ceiling for 
extended care services in Column 3 set 
out opposite the date the service was 
provided in Column 1 of Table 1 if the 
present year's cost is greater than the 
average extended care per diem cost 
for all homes during the previous 
calendar vear. and 



(v) an inflationan,- factor determined by 
the Minister in respect of the cost that 
exceeds the ceiling for extended care 
services; 



7/89 



CHARITABLK INSTITUTIONS ACT 



O. Reg. 43/89. 

General. 

Made — Januar\- 27th, 

Filed — Januar>- 30th, 



1989. 
1989. 



REGULATION TO AMEND 
REGULATION 95 OF REVISED REGULATIONS OF ONTARIO, 1980 

MADE UNDER THE 
CHARITABLE INSTITUTIONS ACT 

1. Item 49 of Table 1 of Regulation 95 of Revised Regulations of Ontario, 1980, as made 
by section 1 of Ontario Regulation 648/88, is revoked and the following substituted 
therefor: 



73 



660 O. Reg. 43/89 THE ONTARIO GAZETTE O. Reg. 45/89 

49. From and including the 1st 
day of November, 1988 up to 
and including the 31st day of 
January. 1989 22.08 59.04 38.08 100.00 37.22 

50. From and including the 1st 

day of February, 1989 22.31 59.04 38.31 100.00 37.22 

7/89 



FAMILY BKNHFITS ACT 

O. Reg. 44/89. 

General. 

Made— January 27th, 1989. 

Filed— January 30th, 1989. 



REGULATION TO AMEND 
REGULATION 318 OF REVISED REGULATIONS OF ONTARIO, 1980 

MADE UNDER THE 
FAMILY BENEFITS ACT 

1. Subclause 12 (5) (e) (i) of Regulation 318 of Revised Regulations of Ontario, 1980, as 
remade by section 1 of Ontario Regulation 649/88, is revoked and the following substi- 
tuted therefor: 

(i) $22.31 a day, or 

2. This Regulation comes into force on the 1st day of February, 1989. 

7/89 

GENERAL WELFARE ASSISTANCE ACT 

O. Reg. 45/89. 

General. 

Made — January 27th, 1989. 

Filed— January 30th, 1989. 



REGULATION TO AMEND 
REGULATION 441 OF REVISED REGULATIONS OF ONTARIO, 1980 

MADE UNDER THE 
GENERAL WELFARE ASSISTANCE ACT 

1. Item 30 of Schedule E to Regulation 441 of Revised Regulations of Ontario, 1980, as 
made by section 1 of Ontario Regulation 650/88, is revoked and the following substi- 
tuted therefor: 

30. From and including the 1st day of 
November, 1988 up to and including the 

31st day of January, 1989 .$22.08 61.16 100.00 53.13 

31. From and including the 1st day of February, 

1989 $22.31 61.16 100.00 53.13 



7/89 



74 



O. Reg. 46/89 THE ONTARIO GAZETTE O. Reg. 47/89 661 

HO.MKS FOR THK AGED AND REST HOMKS ACT 

O. Reg. 46/89. 

General. 

Made — Januan 27th, 1989. 

Filed— Januan 30th. 1989. 



REGULATION TO AMEND 
REGULATION 502 OF REVISED REGULATIONS OF ONTARIO, 1980 

MADE UNDER THE 
HOMES FOR THE AGED AND REST HOMES ACT 

L Item 48 of Table 1 of Regulation 502 of Revised Regulations of Ontario, 1980, as made 
by section 1 of Ontario Regulation 651/88, is revoked and the following substituted 
therefor: 



48. From and including the 1st day of 
Xovember. 1988 up to and including the 
31st day of Januan.-. 1989 

49. From and including the 1st day of Februarx-, 
1989 



22.08 



22.31 



51.65 



51.65 



38.08 



38.31 



100.00 



100.00 



7/89 



PUBLIC CO.M.MHRCIAL \ KHICLKS ACT 

O. Reg. 47/89. 

General. 

Made — Januar>- 18th, 1989. 

Filed— Januar>- 30th. 1989. 



REGULATION TO AMEND 

REGULATION 832 OF 

REVISED REGULATIONS 

OF ONTARIO. 1980 

MADE UNDER THE 

PUBLIC COMMERCIAL VEHICLES 

ACT 

1. Subsection 2 (1) of Regulation 832 of 
Revised Regulations of Ontario, 1980 
is revoked. 

2. Section 3 of the said Regulation is 
revoked. 

3. Section 4 of the said Regulation, as 
amended by section 2 of Ontario Reg- 
ulation 778/81, is revoked. j 

4. Section 5 of the said Regulation is 
revoked. 

75 



5. Subsection 6(1) of the said Regulation, 
as remade by section 1 of Ontario Reg- 
ulation 88/86, is amended by striking 
out "1989" in the last line and inserting 
in lieu thereof "1990". 

6. Paragraph 2 of section 9 of the said 
Regulation, as remade by section 2 of 
Ontario Regulation 88/86, is revoked. 

7. Section 13 of the said Regulation, as 
amended by section 1 of Ontario Reg- 
ulation 205/81, is revoked. 

8. Section 14 of the said Regulation, as 
amended by section 4 of Ontario Reg- 
ulation 778/81, is revoked. 

9. Section 15 of the said Regulation is 
revoked. 

10. Section 17 of the said Regulation is 
revoked. 

11. Section 18 of the said Regulation, as 
amended by section 5 of Ontario Reg- 
ulation 778/81, is revoked. 

12. Section 19 of the said Regulation is 
revoked. 



662 O. Reg. 47/89 



THE ONTARIO GAZETTE 



13. Section 20 of the said Regulation, as 
made by section 6 of Ontario Regula- 
tion 778/81, is revoked. 

14.— (1) Forms 1 to 13 of the said Regula- 
tion are revoked. 

(2) Form 14 of the said Regulation, as 
made by section 7 of Ontario Regula- 
tion 778/81, is revoked. 



7/89 



PARKWAY BELT PLANNING 
AND DKVELOPMHNT ACT 

O. Reg. 48/89. 

County of Wentworth (now The Regional 
Municipality of Hamilton-Wentworth), 
Township of West Flamborough (now 
the Township of Flamborough). 

Made — January 19th, 1989. 

Filed— Januar\- 30th, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 484/73 

MADE UNDER THE 

PARKWAY BELT PLANNING 

AND DEVELOPMENT ACT 

1. Section 28 of Ontario Regulation 
484/73, as made by section 1 of Ontario 
Regulation 213/83, is amended by 
adding thereto the following subsec- 
tion: 

(2) The building existing on the 1st day of 
December, 1988 on the land described in Schedule 15 
may be extended and the extension may be used for 
washrooms and storage facilities if the following 
requirements are met: 

Maximum floor area of 

the extension 1 70 square metres 

Maximum height of the 

extension 6 metres 

O. Reg. 48/89, s. 1. 

L. J. FiNCHAM 

Director 

Plans Administration Branch 

Central and Southwest 

Ministry of Municipal Affairs 

Dated at Toronto, this 19th day of January, 1989. 

7/89 



O. Reg. 49/89 

HIGHWAY TRAFFIC ACT 

O. Reg. 49/89. 

Speed Limits. 

Made — January 26th, 1989. 

Filed — ^January 31st, 1989. 



REGULATION TO AMEND 

REGULATION 490 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

HIGHWAY TRAFFIC ACT 

1.— (1) Paragraph 21 of Part 3 of 
Schedule 2 to Regulation 490 of 
Revised Regulations of Ontario, 1980, 
as made by section 1 of Ontario Regu- 
lation 178/84, is revoked and the fol- 
lowing substituted therefor: 



Regional 
Munici- 
pality of 
Haldimand- 
Norfolii— 

Town of 
Haldimand 



21. That part of the King's Highway known 
as No. 3 in the Town of Haldimand in 
The Regional Municipality of Hal- 
dimand-Norfolk lying between a point 
situate 545 metres measured westerly 
from its intersection with the centre line 
of the Canadian National Railway right- 
of-way in the community of Canfield 
and a point situate at its intersection 
with the easterly limit of the roadway 
known as Monture Street in the com- 
munity of Cayuga. 

(2) Paragraph 4 of Part 4 of the said 
Schedule 2, as remade by section 1 of 
Ontario Regulation 178/84, is revoked. 

(3) Part 6 of the said Schedule 2, as last 
amended by section 1 of Ontario Reg- 
ulation 320/86, is further amended by 
adding thereto the following para- 
graph: 



Regional 
Munici- 
pality of 
Haldimand- 
Norfolk — 



Town of 
Haldimand 



1 1 . That part of the King's Highway known 
as No. 3 in the community of Cayuga in 
the Town of Haldimand in The Region- 
al Municipality of Haldimand-Norfolk 
lying between a point situate at its inter- 
section with the easterly limit of the 
roadway known as Thorburn Street and 
a point situate at its intersection with the 
easterly limit of the roadway known as 
Monture Street. 



— (1) Paragraph 26 of Part 2 of 
Schedule 23 to the said Regulation is 
revoked and the following substituted 
therefor: 



76 



o. Reg. 49/89 



THE ONTARIO GAZETTE 



O. Reg. 50/89 663 



Kenora — 

Twps. of 
Langton. 
Jaffray 
and Melick 



26. That part of the King's Highway known 
as Xo. 17 in the District of Kenora lying 
between a point situate 230 metres mea- 
sured westerly from its intersection with 
the King's Highway known as Xo. 647 
in the Township of Langton and a point 
situate 150 metres measured westerly 
from its intersection with the roadway 
known as Parmeter Road in the 
Township of Jaffray and Melick. 



(2) Part 5 of the said Schedule 23, as last 
amended by section 1 of Ontario Reg- 
ulation 90/84, is further amended by 
adding thereto the following para- 
graph: 



21. 



Kenora — 

Twp. of 
Jaffra>- 
and Melick 



That part of the King's Highway known 
as Xo. 17 in the Township of Jaffray 
and Melick in the District of Kenora 
King between a point situate 150 metres 
measured westerly from its intersection 
with the roadwa\ known as Parmeter 



Road and extending westerly for a dis- 
tance of 550 metres. 

3. Paragraph 1 of Part 5 of Schedule 212 
to the said Regulation is revoked and 
the following substituted therefor: 



Kenora — 

Twp. of 
Jaffra> 
and Melick 



That part of the King's Highway known 
as X^o. 658 (formerly Xo. 666) in the 
Township of Jaffray and Melick in the 
District of Kenora King between a point 
situate at its intersection with the north- 
erly limit of the Town of Kenora and a 
point situate at its intersection with the 
King's Highway known as Xo. 7193 
(Kenora Bypass). 

Edward Fulton 
Minister of Transportation 



Dated at Toronto, this 26th day of Januar>-, 1989. 
7/89 



PROVINCIAL OFFENCES ACT 

O. Reg. 50/89. 

Proceedings Commenced by Certificate 

of Offence. 
Made— January 27th. 1989. 
Filed— Januar> 31st. 1989. 



REGULATION TO AMEND 
REGULATION 817 OF REVISED REGULATIONS OF ONTARIO, 1980 

MADE UNDER THE 
PROVINCIAL OFFENCES ACT 

1. Regulation 817 of Revised Regulations of Ontario, 1980 is amended by adding thereto 
the following Schedule: 

Schedule 90 



7/89 



Ontario Regulation 527/88 under the 
Occupational Health and Safety Act 



Itkm 


Column l 


Column 2 


1. 

7 
.V 

4. 


Failing to use adequately secured fall arrest system 
Failing to use properly arranged fall arrest s>stem 
More than one worker using lifeline 
Standing on loose object while window cleaning 
Failing to use fall arrest system as required 
Beginning window cleaning with suspended scaf- 
fold or chair 
Beginning sill work before receixnng work plan 


subsection 10(1) 
subsection 10(1) 
clause 10(6Ka) 
clause 18(a) 
subsection 31(2) 
subsection 42(3) 

subsection 42(3) 



O. Reg. 50/89. s. 1. 



77 



664 



O. Reg. 51/89 THE ONTARIO GAZETTE 

PROVINCIAL OFFENCES ACT Recommended 



O. Reg. 51/89. 
Approval of Part II By-laws. 
Made — ^January 27th, 1989. 
Filed — ^January 31st, 1989. 



ORDER IN COUNCIL 



R.O.C. 30/89 



On the recommendation of the undersigned, the 
Lieutenant Governor, by and with the advice and con- 
currence of the Executive Council, orders that pursu- 
ant to subsection 15 (2) of the Provincial Offences Act, 
Revised Statutes of Ontario, 1980, chapter 400, the 
by-laws mentioned in Column 1 of the Table, declar- 
ing that Part II of the said Act applies in the munici- 
pality in respect of parking infractions under by-laws 
of the municipality on the date set out opposite thereto 
in Column 2 , are approved. 



TABLE 
Column 1 

By-law No. 30-1988 of The Cor- 
poration of the Town of 
Mitchell 

By-law No. 4613 of The Corpo- 
ration of the Township of 
Mersea 

By-law No. 272-88 of The Cor- 
poration of the City of 
Cambridge 

By-law No. 45-88 of The Corpo- 
ration of the Town of Prescott 

By-law No. 1884-88 of The Cor- 
poration of the Town of Dryden 



Column 2 
March 1, 1989 

March 1, 1989 

March 1, 1989 

March 1, 1989 
March 1, 1989 
O. Reg. 51/89. 



Concurred 



O. Reg. 53/89 

Ian Scott 
Attorney General 

Murray Elston 
Chairman 



Approved and Ordered, January 27th, 1989. 

Lincoln M. Alexander 
Lieutenant Governor 



7/89 



BLIND PERSONS' RIGHTS ACT 

O. Reg. 52/89. 

Dog Guides. 

Made — January 27th, 1989. 

Filed— January 31st, 1989. 



REGULATION TO AMEND 

REGULATION 83 OF 

REVISED REGULATIONS 

OF ONTARIO. 1980 

MADE UNDER THE 

BLIND PERSONS' RIGHTS ACT 



1, 



Paragraph 7 of section 1 of Regulation 
83 of Revised Regulations of Ontario, 
1980 is amended by striking out 
"Forest Hills" and inserting in lieu 
thereof "Smithtown". 



7/89 



GAME AND FISH ACT 

O. Reg. 53/89. 

Open Seasons — Moose and Deer. 
Made— January 27th, 1989. 
Filed— February 1st, 1989. 



REGULATION TO AMEND REGULATION 428 OF 

REVISED REGULATIONS OF ONTARIO, 1980 

MADE UNDER THE GAME AND FISH ACT 



Schedule 1 to Regulation 428 of Revised Regulations of Ontario, 1980, as remade by 
section 2 of Ontario Regulation 210/88. is revoked and the following substituted there- 
for: 

78 



O. Reg. 53/89 



THE ONTARIO GAZETTE 

Schedule 1 



665 





Column 1 


Column 2 


COLUTMN 3 




Wildlife 






Item 


Management 


Open Seasons 


Open Seasons 




Units 


Residents 


Xon-Residenls 


1. 


lA. IC. ID. 16A. 


September 16 to 


September 18 to 




16B. 16C. 17. 


December 15 


November 15 




18B. 25 






2 


2. 3. 4. 5. 6. 


October 7 to 


October 9 to 




8. 9.A. 12-\. 15.\. 


December 15 


November 15 




15B. 18A. 19. 








21A. 2 IB 






3. 


7B, 9B. IIA. 


October 7 to 






IIB. 12B. 13. 14 


December 15 




4. 


22. 23, 24. 27. 


October 7 to 


October 9 to 




28, 29. 30. 31. 


November 15 


November 15 




i2, 33, 34. 35. 








36. 37. 38. 39. 








40. 41. 42 






5. 


26 


September 23 to 


September 25 to 






October 31 


October 31 


6. 


45 


October 9 to 
October 1 1 




7_ 


46. 47. 48. 49. 


October 16 to 






50. 53, 54. 55, 


October 21 






56. 57. 58. 59, 








60.\. 61. 62. 63 







O. Reg. 53/89. s. 1. 

2. Schedule 2 to the said Regulation, as remade by section 3 of Ontario Regulation 210/88, 
is revoked and the following substituted therefor: 

Schedule 2 





Column l 


Column 2 


Column 3 


Column 4 




WUdlife 








luni 


Management 


Open Seasons 


Open Seasons 






Units 


Residents 


Non-Residents 


Conditions 


I. 


:A 


October 7 to 


October 9 to 


Onlv bows and arrows or flint-lock 






December 15 


November 15 


or percussion cap muzzle-loading 
guns may be used. 




2. 3. 4. 5. 6. 


"September 16 to 


September 16 to 


Onlv bows and arrows mav be used. 




s. 9A. 12A. 15A. 


i )ctober 6 


October 6 






!5B. 18.A. 19. 21 A. 










2 IB. 23. 29. 38 








3. 


7B. 9B. 12B. 
13. 14 


September 16 to 
October 6 




Only bows and arrows may be use»! 



7/89 



O. Reg. 53/89. s. 2. 



79 



666 O. Reg. 54/89 



THE ONTARIO GAZETTE 



O. Reg. 55/89 



PETROLEUM RESOURCES ACT 

O. Reg. 54/89. 

Spacing Units — Romney 6-13-III Pool. 
Made— January 27th, 1989. 
Filed— February 1st, 1989. 



REGULATION MADE UNDER THE 
PETROLEUM RESOURCES ACT 

SPACING UNITS— ROMNEY 
6-13-III POOL 

1. In this Regulation, "Plan" means Plan No. 
S.W.R. 88-8, identified by the Registrar of Regula- 
tions with a stamp dated the 9th day of December, 
1988 and filed in the Regional Office of the Ministry of 
Natural Resources at London. O. Reg. 54/89, s. 1. 

2. This Regulation applies to the area comprising, 

(a) the north quarter of Lot 1 1 , Concession III; 

(b) the southeast quarter of the north half of Lot 
11, Concession III; 

(c) lots 12 and 13, Concession III; 

(d) the southwest quarter of the north half of Lot 
14, Concession HI; 

(e) the south half of Lot 14, Concession III; 

(f) the east half of the north three-quarters of 
Lot 12, Concession II; 

(g) lots 13 and 14, Concession II; 

(h) the west half of the north three-quarters of 
Lot IS , Concession II; and 

(i) the south quarter of Lot 15 , Concession 11 , 

in the Township of Romney, in the County of Kent, as 
shown outlined in red on the Plan, excluding the area 
outlined in blue on the Plan. O. Reg. 54/89, s. 2. 

3. This Regulation applies only to wells drilled to 
formations of Ordovician age or deeper. O. Reg. 

54/89, s. 3. 

4. For the purpose of this Regulation, the area 
described in section 2 is divided into spacing units as 
shown outlined in green on the Plan. O. Reg. 54/89, 
s. 4. 

5. — (1) In this section, "target area" means the part 
of any spacing unit on the Plan that is no closer than 
106.68 metres to any boundary of the spacing unit. 

(2) No person shall. 



(a) bore or drill more than one well on each 
spacin>i unit; 

(b) bore or drill a well except in a target area, 
but the Minister may approve deviation from 
the target area where topographical, geologi- 
cal or other conditions require such devia- 
tion; or 

(c) produce from a well on a spacing unit unless 
all the interests in the oil and gas in the spac- 
ing unit have been joined for the purpose of 
producing from the well. O. Reg. 54/89, 
s. 5. 

6. Ontario Regulation 305/88 is revoked. 

7/89 



PETROLEUM RESOURCES ACT 

O. Reg. 55/89. 

Spacing Units — Romney 6-13-IV Pool. 
Made — ^January 27th, 1989. 
Filed— February 1st, 1989. 



REGULATION MADE UNDER THE 
PETROLEUM RESOURCES ACT 

SPACING UNITS— ROMNEY 
6-13-IV POOL 

1. In this Regulation, "Plan" means Plan No. 
S.W.R. 88-9, identified by the Registrar of Regula- 
tions with a stamp dated the 9th day of December, 
1988 and filed in the Regional Office of the Ministry of 
Natural Resources at London. O. Reg. 55/89, s. 1. 

2. This Regulation applies to the area as shown 
outlined in red on the Plan and excluding the areas 
outlined in blue on the Plan comprising, 

(a) in the Township of Romney, in the County 
of Kent, 

(i) the north quarter of the north half of 
Lot 14, Concession III, 

(ii) the southeast quarter of the north half 
of Lot 14, Concession III, 

(iii) Lot 15 , Concession III, 

(iv) the northwest quarter of Lot 16, Con- 
cession III, 

(v) the south half of Lot 16, Concession 

ni, 

(vi) lots 11,12 and 13, Concession IV, 



80 



O. Reg. 55/89 



THE ONTARIO GAZETTE 



O. Reg. 57/89 667 



(vii) the southwest quarter of the north 
half of Lx)t 14, Concession IV, 

(viii) the south half of Lot 14, Concession 
IV, and 

(ix) lots 11 and 12, Concession V; 

(b) in the Township of Mersea, in the County of 
E^sex, 

(i) the north quarter of Lot 24, Conces- 
sion DC, and 

(ii) the southern three-quarters of Lot 24, 
Concession X. O. Reg. 55/89, s. 2. 

3. This Regulation applies only to wells drilled to 
formations of Ordovician age or deeper. O. Reg. 
55/89, s. 3. 

4. For the purpose of this Regulation, the area 
described in section 2 is divided into spacing units as 
shown oudined in green on the Plan. O. Reg. 55/89, 
s. 4. 

5. — (1) In this section, "target area" means the part 
of any spacing unit on the Plan that is no closer than 
106.68 metres to any boundary of the spacing unit. 

(2) No person shall, 

(a) bore or drill more than one well on each 
spacing unit; 

(b) bore or drill a well except in a target area, 
but the Minister may approve deviation from 
the target area where topographical , geologi- 
cal or other conditions require such devia- 
tion; or 

(c) produce from a well on a spacing unit unless 
all the interests in the oil and gas in the spac- 
ing unit have been joined for the purpose of 
producing from the well. O. Reg. 55/89, 
s. 5. 



7/89 



CEMHTHRIKS ACT 

O. Reg. 56/89. 
Closings and Removals. 
Made — Januar>- 27th, 1989. 
Filed— Februar\ 1st, 1989. 



REGULATION TO AMKND 

REGULATION 89 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

CEMETERIES ACT 



1. Section 2 of Regulation 89 of Revised 
Regulations of Ontario, 1980, as re- 
made by section 1 of Ontario Regula- 
tion 523/88, is revoked and the fol- 
lowing substituted therefor: 

2. It is directed that the bodies buried in the 
cemeteries described in schedules 18. 19. 21, 23. 24, 
25. 26, 27, 28, 29, 30, 31, U, ii. 34, 36, 37, 39, 41, 42, 
43, 44, 45, 46, 47, 48, 51, 52, 55, 56, 58, 59, 60, 62 and 
63 be removed. O. Reg. 56/89, s. 1. 

2. Section 4 of the said Regulation, as 
remade by section 2 of Ontario Regu- 
lation 523/88, is revoked and the fol- 
lowing substituted therefor: 

4. The cemeteries described in schedules i2, 3>3>. 53, 
55, 57, 61, 62 and 63 are exempt from the advertising 
provisions of section 59 of the Act. O. Reg. 56/89, 
s. 2. 

3. The said Regulation is amended by 
adding thereto the following Schedules: 



Schedule 62 

ST. THOMAS' ANGLICAN CHURCH CEMETERY 

That parcel of land being parts 2, 3 and 4 on lots 24, 
25, 26 and 27 east of Church Street, in the City of 
Belleville, in the County of Hastings on a plan regis- 
tered in the Land Registr>- Office for the Registr\ Divi- 
sion of Hasting (Xo. 21) as Reference Plan 
21R-11691. O. Reg. 56/89, s. 3, part. 

Schedule 63 

MYERS ROAD BURIAL SITE 

That parcel of land east of the Grand River, in the 
City of Cambridge, in The Regional Municipality of 
Waterloo, being a native burial ground designated 
by the Ministr> of Culture and Communications as 
A:Hb-18 and being Part 1 of Plan 67-1078, less Part 1 
of Plan 67-3183, registered in the Land Registry Office 
for the Registry- Division of Waterloo South (No. 67). 
O. Reg. 56/89. s. 3, part. 

7/89 



LIQUOR LICENCE .A.CT 

O. Reg. 57/89. 

General. 

Made— Januar>- 27th, 1989. 

Filed— Februarv 1st. 1989. 



81 



668 O. Reg. 57/89 



THE ONTARIO GAZETTE 



O. Reg. 59/89 



RHGULATION TO AMEND 

REGULATION 581 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

LIQUOR LICENCE ACT 

1. Item 9 of the Table to section la of 
Regulation 581 of Revised Regulations 
of Ontario, 1980, as remade by section 
1 of Ontario Regulation 84/88. is 
revoked and the following substituted 
therefor: 

9. The Regional Municipalit\' of Sudbury 
and the districts of Algoma and Mani- 
touHn. 

2. Subsection 37 (15) of the said Regula- 
tion, as amended by section 7 of 
Ontario Regulation 534/82, is revoked. 

3. Clause 68a (1) (b) of the said Regula- 
tion, as made by section 3 of Ontario 
Regulation 70/86, is revoked and the 
following substituted therefor: 

(b) S27.78 per hectoHtre for each hectoUtre of 
beer manufactured in the estabHshment and 
sold from the premises for which a brew pub 
licence is issued. 



7/89 



MILK ACT 

(). Reg. 58/89. 

Milk Producers, Licences, Quotas, Pools and 

Transportation. 
Made — January 31st, 1989. 
Filed— February 1st, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 45/82 

MADE UNDER THE 

MILK ACT 

1. Subsections 5(1) and (2) of Ontario 
Regulation 45/82, as remade by section 
1 of Ontario Regulation 52/87, are 
revoked and the following substituted 
therefor: 

(1) Subject to subsection (2), every producer shall 
pay licence fees at the rate of 95.5 cents for each hec- 
tolitre or fraction thereof of milk sold to the marketing 
board. 



(2) Every producer in the Northern Ontario Pool, 
the Northwestern Ontario Pool, the Southern Ontario 
Pool and the Thunder Bay Pool shall pay licence fees 
at the rate of 95.5 cents for each hectolitre or fraction 
thereof of milk sold to the marketing board. O. Reg. 
58/89, s. 1. 

2. This Regulation comes into force on 
the 1st day of February, 1989. 

The Ontario Milk Marketing Board: 

J. Grant Smith 
Chairman 

H. Parker 

Secretary 

Dated at Mississauga, this 31st day of Januarv, 
1989. 

7/89 

parkvva\ bhlt planning and 
di:vi{lopmi:nt act 

(). Reg. 59/89. 

County of Halton (now The Regional 

Municipality of Halton), City of 

Burlington. 
Made— January 27th, 1989. 
Filed — February 1st, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 482/73 

MADE UNDER THE 

PARKWAY BELT PLANNING AND 

DEVELOPMENT ACT 

1. Ontario Regulation 482/73 is amended 
by adding thereto the following section: 

135. — (1) Notwithstanding section 4, the building 
existing on the land described in subsection (2) on the 
1st day of December. 1988 that is used as a pavilion 
restaurant ma\' be extended and the extension ma>- be 
used for restaurant purposes including washroom 
facilities if the following requirements are met: 



Maximum area of addi- 
tion 



25 square metres 



Maximum height of 

addition 5 metres 

(2) Subsection (1) applies to that parcel of land in 
the City of Burlington in The Regional Municipality of 
Halton, formerly in the Township of F^ast Ham- 
borough in the County of Wentworth, being that part 
of Lot 12 in Concession I more particularly described 
as follows: 



82 



O. Reg. 59/89 



THE ONTARIO GAZETTE 



O. Reg. 60/89 669 



Beginning at the intersection of the northerly limit of 
Plains Road and the easterly limit of Lot 12 in the said 
Concession I; 

Thence northerly along the easterly limit of the said 
Lot. 377 metres to a point; 

Thence westerly at right angles from the said east- 
erly limit to the northerly limit of Plains Road; 

Thence easterly along the northerly limit of the said 
road to the place of beginning. O. Reg. 59/89. s. 1. 

L. J. FlXCHAM 

Director 

Plans Administration Branch 

Central and Southi^est 

Ministry of Municipal Affairs 

Dated at Toronto, this 27th day of January. 1989. 
7/89 

CONSERVATION AUTHORITIES ACT 

O. Reg. 60/89. 

Fill, Construction and Alteration to 

Waterwaj-s — Otonabee Region. 
Made— December 1st, 1988. 
Approved — ^Januai>' 2 7th, 1989. 
Filed— Februarj- 1st, 1989. 



REGULATION >L\DE UNDER THE 
CONSERVATION AUTHORITIES .\CT 

FILL, CONSTRUCTION AND .\LTÈR.\TION TO 
WATERWAYS— OTONABEE REGION 

INTERPRET.\TIOX 
I. In this Regulation, 

''Authority" means the Otonabee Region Conservation 
Authority; 

''buflding" means a building or structure of any kind; 

"drainage area" means, for a point, the area that con- 
tributes runoff to that point; 

"fill" means any material used or capable of being 
used to raise, lower or in any way affect the con- 
tours of the ground, whether on a permanent or 
temporan,- basis and whether it originated on the 
site or elsewhere; 

"fill line" means any line designated as such on the 
maps referred to in the Schedules; 

"regional storm" means, 

(a) for bodies of water in Column 1 of Table 1 , 
the rainfall, snowmelt or the combination of 
rainfall and snowmelt that would produce 
the water surface elevations above Canadian 



Geodetic Datum as set out in Column 2 of 
Table 1 opposite the bodies of water in Col- 
unu 1 of Table 1, 

(b) for the main channel of the Otonabee River 
from the confluence with Rice Lake north to 
Young's Point, the rainfall, snowmelt or the 
combination of rainfall and snowmelt that 
would produce a peak flow of 444.80 cubic 
metres per second, and 

(c) for the remainder of the watershed within 
the jurisdiction of the .\uthorit>-. a storm 
producing in a twelve-hour period, 

(i) in a drainage area of twenty-five 
square kilometres or less, a rainfall 
that has the distribution set out in 
Table 2, or 

(ii) in a drainage area of more than 
twenty-five square kilometres, a rain- 
fall such that the number of milli- 
metres of rain referred to in each case 
in Table 2 shall be modified by the 
percentage amount shown in Column 
2 of Table 3 opposite the size of the 
drainage area set out opposite thereto 
in Column 1 of Table 3; 

TABLE 1 



Column 1 


COLCMX 2 


Water Body 


Water Surface Elevation 
(metres) 


Rice Lake 
Stoney Lake 


187.56 
235.65 


Gear I -ike 
Lovesick Lake 
Deer Bay 
Buckhom Lake 
Chemong Lake 
Pigeon Lake 


235.65 
241.93 
243.93 
246.89 
246.89 
246.89 



TABLE 2 



15 mm 

20 mm 

10 mm 

3 mm 

5 mm 

20 mm 

43 mm 

20 mm 

23 mm 

13 mm 

13 mm 

8 mm 



of rain 
of rain 
of rain 
of rain 
of rain 
of rain 
of rain 
of rain 
of rain 
of rain 
of rain 
of rain 



in the first hour 
in the second hour 
in the third hour 
in the fourth hour 
in the fifth hour 
in the sixth hour 
in the seventh hour 
in the eighth hour 
in the ninth hour 
in the tenth hour 
in the eleventh hour 
in the twelfth hour 



83 



670 



THE ONTARIO GAZETTE 



O. Reg. 60/89 



TABLE 3 



Column 1 


Column 2 


Drainage Area (km^) 


Percentage 


26 to 50 both inclusive 


97 


Site 75 both inclusive 


94 


76 to 100 both inclusive 


90 


101 to 150 both inclusive 


87 


151 to 200 both inclusive 


84 


201 to 250 both inclusive 


82 


251 to 375 both inclusive 


79 


3 76 to 500 both inclusive 


76 


501 to 750 both inclusive 


74 


751 to 1000 both inclusive 


70 


1001 to 1250 both inclusive 


68 


1251 to 1500 both inclusive 


66 


1501 to 1800 both inclusive 


65 


1801 to 2 100 both inclusive 


64 


2101 to 2300 both inclusive 


63 


2301 to 2600 both inclusive 


62 


2601 to 3900 both inclusive 


58 


3901 to 5200 both inclusive 


56 


5201 to 6500 both inclusive 


53 


6501 to 8000 both inclusive 


50 



lake, creek, stream 
O. Reg. 60/89, s. 3. 



or watercourse. 



"river", "lake", "creek", "stream" or "watercourse" 
means any river, lake, creek, stream or water- 
course under the jurisdiction of the Authority. 
O. Reg. 60/89, s. 1. 

2. The areas described in the Schedules are areas 
in which, in the opinion of the Authority, the control 
of flooding or pollution or the conservation of land 
may be affected by the placing or dumping of fill. 
O. Reg. 60/89, s. 2. 

3. No person shall, except in accordance with per- 
mission issued under section 4, 

(a) construct a building or permit a building to 
be constructed in or on a pond or swamp or 
in any area susceptible to flooding during a 
regional storm; 

(b) place or dump fill or permit fill to be placed 
or dumped permanently or temporarily in an 
area described in the Schedules; or 



(c) straighten, change, divert or interfere in any 
way with the existing channel of a river. 



4. Subject to the Ontario Water Resources Act or 
to any private interest, the Authority may permit in 
writing the construction of a building or the placing or 
dumping of fill or the straightening, changing, divert- 
ing or interfering with the existing channel of a river, 
lake, creek, stream or watercourse if, in the opinion of 
the Authority, the construction or the placing or 
dumping of fill or the straightening, changing, divert- 
ing or interfering with the existing channel will not 
adversely affect the control of flooding or pollution or 
the conservation of land. O. Reg. 60/89, s. 4. 

5. — (1) A signed application for permission to con- 
struct a building in or on a pond or swamp or in any 
area susceptible to flooding during a regional storm 
shall be filed with the Authority and shall include, 

(a) four copies of a plan of the property showing 
the proposed location of the building, its ele- 
vation and the proposed final grade plan; 

(b) four copies of a complete description of the 
type of building to be constructed, including 
drainage details and the method of construc- 
tion; 

(c) four copies of a statement of the dates 
between which the construction will be car- 
ried out; and 

(d) four copies of a statement of the proposed 
use of the building following completion of 
the construction. 

(2) A signed application for permission to place or 
dump fill in an area described in the Schedules shall be 
filed with the Authority and shall include, 

(a) four copies of a plan of the property on 
which the fill is to be placed or dumped, 
showing the proposed location of the fill, the 
depth to which it is proposed to be placed or 
dumped and the proposed final grade of the 
land when the placing or dumping of fill is 
completed; 

(b) four copies of a complete description of the 
type of fill proposed to be placed or dumped 
and the method of placing or dumping the 
fill; 

(c) four copies of a statement of the dates 
between which the placing or dumping will 
be carried out; and 

(d) four copies of a statement of the proposed 
use of the land following completion of the 
placing or dumping of the fill. 

(3) A signed application for permission to 
straighten, change, divert or interfere in any way with 
the existing channel of a river, lake, creek, stream or 



84 



O. Reg. 60/89 



THE ONTARIO GAZETTE 



671 



watercouse shall be filed with the Authority and shall 
include, 

(a) four copies of a plan on which shall be shown 
in plan view and cross-section the details of 
the straightening, change, diversion or inter- 
ference; 

(b) four copies of a description of the protective 
measures to be undertaken and the method 
to be used to carry out the straightening, 
change, diversion or interference; 



(0 



(d) 



four copies of a statement of the dates 
between which the straightening, changing, 
diverting or interfering will be carried out; 
and 

four copies of a statement of the purpose of 
the straightening, changing, diverting or 
interfering. O. Reg. 60/89, s. 5. 

6. The Authority- may at any time withdraw a per- 
mission given under section 4 if, in the opinion of the 
Authority', the representations contained in the appli- 
cation for permission are not carried out. O. Reg. 
60/89, s. 6. 

7. The Authority' may appoint officers to enforce 
this Regulation. 6. Reg. 60/89, s. 7. 

8. Regulation 174 of Revised Regulations of 
Ontario, 1980 is revoked. 

Otox.\bee Region Coxserv.atiox 

AUTHORm': 

Michael Re.\der 
Chairman 

Hal G. Hooke 
Secretary-Treasurer 

Dated at Peterborough, this 1st day of December, 
1988. 

Schedule 1 

Those lands in the counties of Peterborough and Vic- 
toria that extend a distance of not less than one-half lot 
from the streams, lakes and watercourses as shown 
shaded on Map OTRl-1 filed in the Central Regional 
Office of the Ministry of Natural Resources at Rich- 
mond Hill and identified by a stamp of the Registrar 
of Regulations dated the 16th day of December, 1988, 
more particularly described as follows: 

1. The whole of the Ouse River and its tributar- 
ies from its entry into Rice Lake in the 
Township of Asphodel to the south boundary 
of the Village of Norwood in the County of 
Pfeterborough. 

2. The whole of the Ouse River and its tributar- 
ies from the north boundary of the Village of 



10. 



11. 



12. 



35 



Norwood through the Township of Asphodel 
to its source in the Township of Dummer in 
the County of Peterborough. 

The whole of the Indian River and its tribu- 
taries from its entry into Rice Lake in the 
Township of Otonabee to the east boundary 
of the Township of Douro in the County of 
Peterborough. 

That part of the Otonabee River and its 
tributaries from the north boundary of the 
City of Peterborough to the south boundary 
of the Village of Lakefield in the County of 
Peterborough. 

That part of the Otonabee River and its 
tributaries including Lake Katchiwano from 
the north boundary of the \'illage of Lake- 
field to its source at Clear Lake in the town- 
ships of Douro and Smith in the County of 
Peterborough. 

That part of Jackson Creek and its tributar- 
ies from the boundary between the City of 
Peterborough and the Township of Smith 
to the boundary between the Township 
of Smith and the Township of North 
Monaghan in the County of Peterborough. 

That part of Jackson Creek and its tributar- 
ies from the boundary between the Town- 
ship of North Monaghan and the Township 
of Cavan to its source in the Township of 
Cavan in the County of Peterborough. 

That part of Meade Creek and its tributaries 
from the boundary between the City of 
Peterborough and the Township of Otonabee 
to its source in the Township of Douro in the 
County of Peterborough. 

That part of an unnamed watercourse from 
its source in Lot IV, West Communications 
Road in the Township of Smith through lots 
TV and V, East Communications Road, to 
the boundary between the Township of 
Smith and the City of Peterborough. 

The whole of Squirrel Creek and its tributar- 
ies from its entry into the Otonabee River in 
the Township of South' Monaghan to its 
source in the Township of Cavan in the 
County of Peterborough. 

That part of Baxter Creek and its tributaries 
from its entry into the Otonabee River in the 
Township of South Monaghan to the north 
boundary of the Village of Millbrook in the 
County of Peterborough. 

That part of Baxter Creek and its tributaries 
from the south boundary of the Village of 
Millbrook to its source in the Township of 
Cavan in the County of Peterborough. 



672 



THE ONTARIO GAZETTE 



O. Reg. 60/89 



13. That part of Trout or Cavan or Cavanville 
Creek and its tributaries from the boundary 
between the Township of North Monaghan 
and the Township of Cavan to its source in 
the Township of Cavan in the County of 
Peterborough. 

14. The whole of Snelgrove Brook and its tribu- 
taries from its entry into Lake Katchiwano in 
the Township of Smith to its source in the 
Township of Smith in the County of Peter- 
borough. 

15. The whole of Sawer Creek and its tributaries 
from its entry into the Otonabee River in the 
Township of Douro to its source in the 
Township of Dummer in the County of 
Peterborough. 

16. The whole of Moore Lake in the Township 
of Smith in the County of Peterborough. 

17. The whole of an unnamed watercourse from 
Moore Lake to Deer Bay of Buckhorn Lake 
in the Township of Smith in the County of 
Peterborough. 

18. The shore of Chemong Lake to the conflu- 
ence between Chemong Lake and Buckhorn 
Lake in the Township of Smith in the 
County of Peterborough. 

19. That part of the south shore of Buckhorn 
Lake in the Township of Smith from and 
including its confluence with Chemong Lake 
to and including the confluence of Buckhorn 
Lake and Stoney Lake at Burleigh Falls in 
the Township of Smith in the County of 
Peterborough. 

20. That part of the shores of Stoney Lake and 
Clear Lake adjacent to the townships of 
Smith, Douro and Dummer from the conflu- 
ence with Buckhorn Lake at Burleigh Falls 
in the Township of Smith to the easterly 
boundary between the Township of Dummer 
and that part of the Township of Belmont 
and Methuen that was formerly the Town- 
ship of Methuen in the County of Peter- 
borough. 

21. That part of the north shore of Rice Lake 
and the Trent River adjacent to the town- 
ships of South Monaghan, Otonabee and 
Asphodel in the County of Peterborough and 
the watershed boundary in the Township of 
South Monaghan in the County of Peterbor- 
ough to the west boundary of the Village of 
Hastings in the County of Northumberland. 

22. That part of the north shore of Rice Lake 
and the Trent River adjacent to the Town- 
ship of Asphodel in the County of Peterbor- 
ough from the east boundary of the Village of 
Hastings in the County of Northumberland 



to the boundary between the Township of 
Asphodel and that part of the Township of 
Belmont and Methuen that was formerly the 
Township of Belmont in the County of 
Peterborough. O. Reg. 60/89, Sched. 1. 

Schedule 2 

That part of the watershed of the Ouse River extend- 
ing easterly from the road allowance between conces- 
sions 7 and 8 of the Township of Asphodel in the 
County of Peterborough as shown all inclusive de- 
lineated by the fill line indicated on Maps 0TR2-1 and 
OTR2-2 dated December 1976 and identified by a 
stamp of the Registrar of Regulations dated the 16th 
day of December, 1988, and filed in the Central 
Regional Office of the Ministry of Natural Resources 
at Richmond HUl. O. Reg. 60/89, Sched. 2. 



Schedule 3 

That part of the watershed of Pigeon Lake, Buckhorn 
Lake and Chemong Lake within the Township of 
Ennismore, in the County of Peterborough as shown 
shaded on Map 0TR3-1, identified by a stamp of the 
Registrar of Regulations dated the 16th day of Decem- 
ber, 1988, and filed in the Central Regional Office of 
the Ministry of Natural Resources at Richmond Hill. 
O. Reg. 60/89, Sched. 3. 



Schedule 4 

That part of the watersheds of the Otonabee River, 
Meade Creek (south branch), Meade Creek (north 
branch), Curtis Creek, Thompson Creek, Bear Creek 
and Jackson Creek within the City of Peterborough 
and the townships of Otonabee and North Monaghan 
in the County of Peterborough as shown delineated by 
the fill Une indicated on Maps 0TR4-1 to OTR4-21, 
inclusive, identified by a stamp of the Registrar of 
Regulations dated the 16th day of December, 1988, 
and filed in the Central Regional Office of the Minis- 
try of Natural Resources at Richmond Hill, more par- 
ticularly described as follows: 

1. The watershed of the Otonabee River from 
the north limit of the City of Peterborough to 
the City of Peterborough Airport. 

2. The watershed of Meade Creek (south 
branch) extending easterly from Little Lake 
to the easterly limit of the City of Peter- 
borough. 

3. The watershed of Meade Creek (north 
branch) extending easterly from Little Lake 
to the easterly limit of the City of Peter- 
borough. 

4. The watershed of Thompson Creek extend- 
ing easterly from the Otonabee River to the 
Trent Canal. 



86 



O. Reg. 60/89 



THE ONTARIO GAZETTE 



O. Reg. 61/89 673 



5. The watershed of Bear Creek extending 
northeasterly from the Otonabee River to the 
northerly Umit of the City of Peterborough. 

6. The watershed of Curtis Creek extending 
easterly from the Otonabee River to the east- 
erly limit of the City of Peterborough. 

7. The watershed of Jackson Creek extending 
northeasterly from the Otonabee River to the 
northeriy limit of the City of Peterborough. 
O. Reg. 60/89, Sched. 4. 

Schedule 5 

That part of the watershed of Baxter Creek and its 
tributaries within the Village of Millbrook in the 
County of Peterborough as shown delineated by the 
fill line of Maps OTR5-1 to OTR5-6, inclusive, identi- 
fied by a stamp of the Registrar of Regulations dated 
the 16th day of December, 1988, and filed in the Cen- 
tral Regional Office of the Ministry' of Natural 
Resources at Richmond Hill. O. Reg. 60/89, 
Sched. 5. 

Schedule 6 

That part of the watershed of Cavan Creek and the 
Otonabee River in the townships of Cavan, North 
Monaghan emd Otonabee in the County of Peterbor- 
ough as shown delineated by the fill line on Maps 
OTR6-2 to OTR6-4, OTR6-6 to OTR6-15, OTR6-17 
to OTR6-25, all inclusive, identified by a" stamp of the 
Registrar of Regulations dated the 16th day of Decem- 
ber, 1988. and filed in the Central Regional Office of 
the Ministry of Natural Resources at Richmond Hill. 
O. Reg. 60/89, Sched. 6. 

Schedule 7 

That part of the watershed of Ray's Creek and the 
Otonabee River in the Village of Lakefield in the 
County of Peterborough as shown delineated by the 
fill Une on Maps 0TR7-1 to OTR7-8, inclusive, iden- 
tified by a stamp of the Registrar of Regulations dated 
the 16th day of December, 1988, and filed in the Cen- 
tral Regional Office of the Ministr\- of Natural 
Resources at Richmond Hill. O. Reg. 60/89, 
Sched. 7. 

Schedule 8 

That part of the watershed of Jackson Creek in the 
Township of North Monaghan in the Count}' of Peter- 
borough as shown dehneated by the fill line on Maps 
OTR8-2 to OTR8-9, inclusive, identified by a stamp 
of the Registrar of Regulations dated the 16th day of 
December, 1988, and filed in the Central Regional 
Office of the Ministry of Natural Resources at Rich- 
mond HUl. O. Reg. 60/89, Sched. 8. 

Schedule 9 

That part of the watershed of Otonabee River within 
the townships of North Monaghan, South Monaghan 



and Otonabee within the County of Peterborough as 
shown delineated by the fill line on Maps 0TR9-1 to 
OTR9-20, inclusive, identified by a stamp of the Reg- 
istrar of Regulations dated the 16th day of December, 
1988, and filed in the Central Regional Office of the 
Ministry of Natural Resources at Richmond Hill. 
O. Reg! 60/89, Sched. 9. 

Schedule 10 

That part of the watershed of Indian River in the 
Township of Dummer in the Count>- of Peterborough 
as shown delineated by the fill Une on Maps OTRlO-1 
to OTRlO-9, inclusive, identified by a stamp of the 
Registrar of Regulations dated the 16th day of Decem- 
ber, 1988, and filed in the Central Regional Office of 
the Ministr>' of Natural Resources at Richmond Hill. 
O. Reg. 60/89, Sched. 10. 

Schedule 11 

That part of the watershed of Trent River in the Vil- 
lage of Hastings in the County of Northumberland as 
shown delineated by the fill line on Maps OTRll-1 to 
OTRll-5, inclusive, identified by a stamp of the Reg- 
istrar of Regulations dated the 16th day of December, 
1988, and filed in the Central Regional Office of the 
Ministry- of Natural Resources at Richmond Hill. 
O. Reg. 60/89, Sched. 11. 

Schedule 12 

That part of the watershed of Byersville Creek in the 
City of Peterborough in the County of Peterboroueh as 
shown dehneated by the fill Une on Maps OTR12-1 to 
OTR12-4, inclusive, identified by a stamp of the Reg- 
istrar of Regulations dated the 16th day of December, 
1988, and filed in the Central Regional Office of the 
Ministry- of Natural Resources at Richmond HiU. 
O. Reg. 60/89, Sched. 12. 



7/89 



HIGHWAY TRAFFIC ACT 

O. Reg. 61/89. 

Hours of Work. 

Made— February- 2nd, 1989. 

Filed— February 3rd, 1989. 



REGULATION MADE UNDER THE 
HIGHWAY TRAFFIC ACT 

HOURS OF WORK 

1. — (1) In this Regulation, 

"adverse driving conditions" means snow, sleet, ice, 
fog and any other unfavourable atmospheric, road 
or driving concUtion; 



87 



674 



"automatic on-board recording device" means an elec- 
tric, electronic or electro-mechanical device in a 
commercial motor vehicle that automatically 
records a driver's duty status; 

"commercial motor vehicle" means, 

(a) a commercial motor vehicle as defined in 
subsection 15a (1) of the Act, and 



THE ONTARIO GAZETTE O. Reg. 61/89 

(2) A driver's duty status is the time the driver is, 

(a) off duty; 

(b) off duty, in a sleeper berth; 

(c) on duty, driving; or 

(d) on duty, not driving. 



(b) a trailer or trailers drawn by a vehicle 
referred to in clause (a); 

"daily log" means a record for one day of the informa- 
tion required under section 12; 

"day" means a twenty-four hour period beginning at 
the time designated by an operator; 

"drive" means to drive a commercial motor vehicle on 
a highway; 

"driver" means a person who drives a commercial 
motor vehicle on a highway; 

"emergency vehicle" means, 

(a) a road service vehicle operated by or on 
behalf of a road authority, 

(b) a vehicle used by a person employed by or on 
behalf of a police force, or 

(c) a vehicle used by or on behalf of a public 
utility as defined in the Public Utilities Cor- 
porations Act; 

"home terminal" means an operator's place of business 
to which a driver normally reports for work; 

"inspector" means the Registrar or an officer 
appointed for the purpose of carrying out the provi- 
sions of the Act or the regulations; 

"on duty" includes the time spent performing activities 
described in section 3 but excludes the time during 
which the driver is temporarily relieved of responsi- 
bility by the operator; 

"operator" means an operator as defined in subsection 
lSa(l)ofthe Act; 

'recreation vehicle" means a vehicle designed as a 
mobile accommodation or as a self-propelled 
mobile accommodation and used as transportation 
without compensation for personal or recreational 
purposes and includes but is not limited to a cabin 
trailer, collapsible cabin trailer, tent trailer and 
camping trailer; 

"sleeper berth" means a sleeping accommodation in a 
commercial motor vehicle that is designed, con- 
structed and maintained as a sleeping accommoda- 
tion in accordance with good industrial practice. 



(3) For the purpose of section 16Sa of the Act, 
"commercial motor vehicle" and "operator" have the 
meanings set out in subsection (1). O. Reg. 61/89, 
s. 1. 

2. This Regulation does not apply to a driver of, 

(a) a two or three axle commercial motor vehicle 
that is being used to transport primary prod- 
ucts of a farm, forest, sea or lake produced 
by the driver of the vehicle or the driver's 
employer; 

(b) an emergency vehicle that is being used to 
respond to or return from an emergency; 

(c) a commercial motor vehicle that is being 
used to provide relief from an earthquake, 
flood, fire, famine, drought, epidemic, pesti- 
lence or other disaster by transporting pas- 
sengers or goods; 

(d) a recreation vehicle; or 

(e) a bus that is used for passenger service in a 
municipality or within twenty-five kilo- 
metres of the boundary of that municipality. 
O. Reg. 61/89, s. 2. 

3. A driver's on duty period includes time during 
which the driver, 

(a) inspects, services, repairs, conditions and 
starts a commercial motor vehicle; 

(b) drives a commercial motor vehicle; 

(c) travels as one of two co-drivers while the 
other driver drives, excluding the time spent 
in a sleeper berth; 

(d) participates in the loading or unloading of a 
commercial motor vehicle; 



(e) 



inspects and checks the load of a commercial 
motor vehicle; 



(f) waits for a commercial motor vehicle or load 
to be checked at a customs, weighing or 
other inspection check point; 

(g) waits, at the request of the operator that 
employs or contracts for the services of the 
driver, for a commercial motor vehicle to be 
serviced, loaded or unloaded; 



O. Reg. 61/89 



THE ONTARIO GAZETTE 



675 



(h) travels in a commercial motor vehicle at the 
request of the operator that employs or con- 
tracts for the services of the driver to a work 
assignment that will begin before the driver 
has had eight consecutive hours off duty; 

(i) is delayed by adverse driving conditions of 
which the driver and dispatcher were 
unaware and could not reasonably be 
expected to predict at the beginning of the 
trip or by another unplanned event; and 

(j) performs any other activity at the request of, 
in the employ of or in contractual service to 
an operator. O. Reg. 61/89, s. 3. 

4. — (1) Every operator shall ensure that every 
driver employed by or contracted to the of)erator takes 
and every driver shall take at least eight consecutive 
hours off dut>' after the driver has driven for thirteen 
hours before the driver may drive again. 

(2) Every operator shall ensure that every driver 
employed by or contracted to the operator takes and 
every driver shall take at least eight consecutive hours 
off duty after the driver has been on duty for fifteen 
hours before the driver may drive again. O. Reg. 
61/89, s. 4. 

5. — (1) Ever>' driver shall elect to work on a seven, 
eight or fourteen consecutive day cyclç and may 
change his or her election at any time in a cycle. 

(2) No driver who elects to work on a seven consec- 
utive day cycle shall drive in any one cycle after being 
on duty in that cycle for sixty hours. 

(3) No driver who elects to work on an eight consec- 
utive day cycle shall drive in any one cycle after being 
on duty in that cycle for seventy hours. 

(4) No driver who elects to work on a fourteen con- 
secutive day cycle shall drive in any one cycle after 
being on duty in that cycle for 120 hours. 

(5) Despite subsection (4), every driver who elects to 
work on a fourteen consecutive day cycle shall take at 
least twenty-four consecutive hours off duty after 
being on duty in a cycle for not less than fifty and not 
more than seventy hours. 

(6) No operator shall permit a driver employed by 
or contracted to the operator to contravene subsections 
(2), (3), (4) or (S). O. Reg. 61/89, s. 5. 

6. — (1) A driver's off duty period under section 4 
may be reduced from eight consecutive hours to not 
less than four consecutive hours. 

(2) If a driver's off duty period is reduced as pro- 
vided in subsection (1), every operator that employs or 
contracts for the services of the driver shall ensure that 
the driver takes and the driver shall take an off duty 
period immediately before beginning driving duty dur- 
ing the same or next day of not less than the sum of 



eight hours and the amount of time by which the off 
dut>' period was reduced. 

(3) A driver's off dut>' period may not be reduced as 
provided in subsection (1) more than once in any 
period of seven consecutive days. O. Reg. 61/89, 

s. 6. 

7. Despite subsection 6(1), if an inspector is of the 
opinion that a reduction in a driver's off duty period is 
jeopardizing or is likely to jeopardize the safety or 
health of any person, the Registrar may direct the 
operator that employs or contracts for the services of 
the driver to give the driver, and the driver to take, an 
off duty period as specified by the Registrar before the 
driver may drive again. O. Reg. 61/89, s. 7. 

8. A driver is considered to have an off duty period 
of eight consecutive hours if, 

(a) the driver takes two rest periods in a sleeper 
berth; 

(b) neither rest period referred to in clause (a) is 
less than two hours; 

(c) the total of the two rest periods is not less 
than eight hours; and 

(d) the driver does not drive, 

(i) for more than thirteen hours between, 

(A) the driver's last off duty period 
or last rest period of at least 
two hours in a sleeper berth 
before the first rest period 
referred to in clause (a), and 

(B) the second rest f)eriod referred 
to in clause (a), or 

(ii) for more than thirteen hours between, 

(A) the first rest period referred to 
in clause (a), and 

(B) the driver's next off duty 
period or next rest period of at 
least two hours in a sleeper 
berth after the second rest 
period referred to in clause (a). 
O. Reg. 61/89, s. 8. 

9. — (1) An inspector may direct a driver who is con- 
travening this Regulation to forthwith take an off duty 
period. 

(2) No operator shall permit a driver who has been 
ordered off duty by an inspector to drive a commercial 
motor vehicle until the requirements of this Regiilation 
are met. 

(3) No driver who has been ordered off duty by an 
inspector shall drive a commercial motor vehicle until 



89 



676 



THE ONTARIO GAZETTE 



the requirements of this Regulation are met. O. Reg. 
61/89, s. 9. 

10. A driver may exceed the on duty periods pre- 
scribed by sections 4 and S in an emergency, 

(a) in order to complete a trip if the trip could be 
completed within the prescribed on duty 
period in the absence of the emergency; or 

(b) to reach a place offering safety for the vehicle 
occupants or security for the vehicle and its 
cargo. O. Reg. 61/89, s. 10. 

11. A driver may exceed the on duty periods pre- 
scribed by sections 4 and S by not more than two 
hours if, 

(a) adverse driving conditions develop during 
the trip of which the driver and dispatcher 
were not aware and could not reasonably be 
expected to predict at the beginning of the 
trip; and 

(b) the trip could be completed within the pre- 
scribed on duty period in normal driving 
conditions. O. Reg. 61/89, s. 11. 

12. — (1) Every driver shall make and every opera- 
tor shall ensure that every driver employed by or con- 
tracted to the operator makes, 

(a) a handwritten daily log in duplicate; or 

(b) subject to section 17, a daily log by auto- 
matic on-board recording device. 

(2) The daily log required under subsection (1) shall 
include, 

(a) the driver's signature; 

(b) the date; 

(c) the starting time for the day covered by the 
log, if different from midnight; 

(d) the name of the operators for whom the 
driver works in the day; 

(e) the main office address for each operator; 

(f) the driver's name; 

(g) the name of the driver's co-driver, if any; 

(h) the number plate or unit number of the 
truck, bus or tractor driven by the driver; 

(i) the number plate or unit number of the trail- 
ers, if any, drawn by the truck, bus or trac- 
tor; 

(j) the odometer reading taken at the beginning 
of the driver's first driving period of the day 
for each commercial motor vehicle driven; 



O. Reg. 61/89 



(k) the total distance driven by the driver; 

(1) the total time spent by the driver in each 
duty status; and 

(m) the city, town, village or highway location 
and the province or state where each period 
of duty status begins. O. Reg. 61/89, s. 12. 

13. Every driver shall include in the handwritten 
daily log a graph grid in Form 1 and shall complete 
the graph grid in accordance with the following pro- 
cedures: 

1. A continuous line shall be drawn between 
the appropriate time markers for each day on 
the graph grid, recording the periods of time 
the driver is, 

i. off duty, 

ii. in a sleeper berth, 

iii. on duty, not driving, and 

iv. driving. 

2. The total time for each duty status shall be 
entered on the right-hand side of the graph 
grid. 

3. The sum of the total times for each duty sta- 
tus shall be twenty-four hours. O. Reg. 

61/89, s. 13. 

14. No operator shall permit a driver employed by 
or contracted to the operator to drive and no driver 
shall drive unless the driver carries the driver's current 
daily log completed to the time for which the last 
change in duty status occurred and, 

(a) copies of the driver's daily logs for the pre- 
ceding seven consecutive days; or 

(b) if working on a fourteen consecutive day 
cycle, copies of the driver's daily logs for the 
previous fourteen consecutive days. 
O. Reg. 61/89, s. 14. 



if, 



15. A driver is exempted from making a daily log 



(a) the driver does not drive a commercial motor 
vehicle in the day beyond a radius of 160 
kilometres of the location at which the driver 
reports for work; 

(b) within fifteen hours from the time the driver 
reported for work the driver returns to the 
location at which the driver reports for work 
and then goes off duty; and 

(c) the operator keeps for a period of six months 
accurate records of. 



90 



O. Reg. 61/89 



THE ONTARIO GAZETTE 



677 



(i) the time the driver reports for work 
each day, 

(ii) the total period of time the driver is 
on duty each day, and 

(iii) the time the driver goes off duty each 
day. O. Reg. 61/89, s. IS. 

16. Every driver who is ordinarily exempted by 
section 2 or IS from making a daily log shall, when 
driving a commercial motor vehicle in a circumstance 
that does not exempt the driver from making a daily 
log, enter in the current daily log the total period of 
time that the driver was on duty in the immediately 
preceding seven consecutive days. O. Reg. 61/89, 
s. 16. 

17. — (1) An automatic on-board recording device 

may be used to make a daily log if, 

(a) the driver has in his or her possession true 
copies of his or her daily logs for the preced- 
ing seven or fourteen consecutive days, 
whichever is applicable; 

(b) the device records and displays, 

(i) the amount of time the driver drives 
and the amount of time the driver is 
on duty, not driving, in the day, 

(ii) the driver's total time on duty in the 
seven, eight or fourteen consecutive 
day cycle, whichever is applicable, or 
the driver's available on duty time 
remaining in the seven, eight or four- 
teen consecutive day cycle, whichever 
is applicable, and 

(iii) the changes in the driver's duty status 
in the day and the times at which the 
changes occur; 

(c) the device automatically records and indi- 
cates the number of times it is disconnected; 

(d) the device automatically records time and 
movement for the vehicle; 

(e) the driver signs and certifies to be true and 
correct all hard copies of the daily log pro- 
duced by the device; and 



(f) there are in the conmiercial motor vehicle 
forms for the purpose of making handwritten 
daily logs. 

(2) Every driver shall make, upon the demand of an 
inspector, handwritten daily logs produced from the 
information recorded by an automatic on-board 
recording device for each day of the immediately pre- 
ceding seven or fourteen days, whichever is 
applicable. O. Reg. 61/89, s. 17. 

18. — (1) Every driver shall forward his or her origi- 
nal daily log within twenty days after it is made to his 
or her home terminal or to the principal place of busi- 
ness of the operator who is the driver's primary 
employer or contractor. 

(2) If a driver works for more than one operator in a 
day, the driver shall forward a copy of his or her daily 
log as soon as is reasonably possible to each operator 
for whom the driver worked in that day. O. Reg. 
61/89, s. 18. 

19. — (1) Every driver shall keep until the end of a 
trip îuid, upon the demand of an inspector, shall 
produce for inspection fuel receipts, bills of lading, 
shipping documents and accommodation receipts 
received during the trip. 

(2) Every driver shall forward the documents 
referred to in subsection (1) as soon as is reasonably 
possible at the end of the trip to his or her home termi- 
nal or to the principal place of business of the operator 
who is the driver's primary employer or contractor. 
O. Reg. 61/89, s. 19. 

20. — (1) Every operator shall keep all daily logs 
and documents received under sections 18 and 19 for 
not less than six months after they are received by the 
operator. 

(2) The logs and documents required to be kept 
under subsection (1) may be kept at the home terminal 
of the driver who forwarded them for not more than 
thirty days and thereafter shall be kept at the opera- 
tor's principal place of business. 

(3) Every operator shall produce for inspection the 
logs and documents kept as required under subsection 
(1) upon the demand of an inspector. O. Reg. 61/89, 
s. 20. 

21. This Regulation comes into force on the 1st day 
of March, 1989. 



91 



678 O. Reg. 61/89 THE ONTARIO GAZETTE 

Form 1 

Highway Traffic Act 

Graph Grid 
Use Local Time at Home Terminal 



O. Reg. 62/89 



Duty Status 

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Mill 11 iiiiiiiniiiMiiiiiiii iiiiiiiiiiiiMMiiiniMnii'ni'iii iii MMMiii iiiiiiiiiiiiiiiiiiii 



O. Reg. 61/89, Form 1. 



7/89 



HEALTH DISCIPLINES ACT 

O. Reg. 62/89. 

Pharmacy. 

Made — September 8th, 1988. 

Approved — February 2nd, 1989. 

Filed— February 3rd, 1989. 



REGULATION TO AMEND REGULATION 451 OF 

REVISED REGULATIONS OF ONTARIO, 1980 
MADE UNDER THE HEALTH DISCIPLINES ACT 

1. Item 1 of Schedule C to Regulation 451 of Revised Regulations of Ontario, 1980, as 
remade by section 2 of Ontario Regulation 422/84, is revoked and the following substi- 
tuted therefor: 

1. Acetylsalicylic Acid products for children 

la. Adiphenine and its salts for oral use 

Council of the Ontario College of Pharmacists: 

Robert Riepert 

President 

William R. Wensley 
Registrar 



Dated at Toronto, this 8th day of September, 1' 



7/89 



92 



O. Reg. 63/89 



THE ONTARIO GAZETTE 



O. Reg. 64/89 679 



HEALTH DISCIPLINES ACT 

O. Reg. 63/89. 

Nursing. 

Made — November 30th, 1988. 

Approved — Februar>- 2nd, 1989. 

Filed— Februarv 3rd, 1989. 



REGULATION TO AMEND 

REGULATION 449 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

HEALTH DISCIPLINES ACT 

. Paragraph 4, as remade by section 1 of 
Ontario Regulation 134/88, and para- 
graphs 5 and 6 of section 1 of Regula- 
tion 449 of Revised Regulations of 
Ontario, 1980 are revoked and the 
following substituted therefor: 

4. The Central electoral district, composed of 
the County of Simcoe and the regional 
municipalities of Halton, Peel and York. 

5. The Eastern Region electoral district, com- 
posed of the counties of Stormont. Dundas. 
Glengarry-, Prescott, Russell and Renfrew, 
and The Regional Municipality of Ottawa- 
Carle ton. 

6. The Northeastern Region electoral district, 
composed of the territorial districts of Algo- 
ma, Cochrane, Manitoulin, Muskoka, Parry 
Sound. Nipissing, Sudbury and Timiskam- 
ing and that portion of the territorial district 
of Kenora east of the 87th longitude. 

7. The Northwestern Region electoral district, 
composed of the territorial districts of Rainy 
River, Thunder Bay and that portion of the 
territorial district of Kenora west of the 87th 
longitude. 

. Item 2, as remade by section 3 of 
Ontario Regulation 11/87, and items 5 
and 6 of the Table to section 3 of the 
said Regulation are revoked and the 
following substituted therefor: 

Central 
Western 
Region 3 1 

Eastern 
Region 2 1 



Northeastern 
Region 



Northwestern 
Region 



3. This Regulation comes into force on 
the 15th da> of June, 1989. 

Council of the College of Nurses 
OF Ontario: 

Joyce Shack 
President 

Margaret Risk 
Executive Director 

Dated at Toronto, this 30th day of November. 1 988. 



7/89 



MINISTRY OF HEALTH ACT 

O. Reg. 64/89. 

Grant to the University of Toronto Faculty of 

Medicine — ^Aprfl 1, 1988 — September 30, 

1988. 
Made— December 23rd, 1988. 
Approved — February 2nd, 1989. 
Filed— February 3rd, 1989. 



REGULATION MADE UNDER THE 
MINISTRY OF HEALTH ACT 

GRANT TO THE UNIVERSITY OF TORONTO 

FACULTY OF MEDICINE —APRIL 1, 

1988— SEPTEMBER 30, 1988 

1. The Minister may make a grant to the Univer- 
sity of Toronto Faculty of Medicine for that part of the 
fiscal year commencing on the 1st day of April, 1988 
and ending on the 30th day of September, 1988 in the 
amount of S2 17, 831 for the purpose of providing for 
the completion of a comprehensive internship or a 
rotating internship within the meaning of clauses 14 
(g) and (j) of Regulation 448 of Revised Regulations of 
Ontario, 1980 by each person who, 

(a) has a degree in medicine from an acceptable 
unaccredited medical school within the 
meaning of clause 14 (b) of the said Regula- 
tion; 

(b) in 1987 successfully completed in Ontario a 
comprehensive internship or a rotating 
internship within the meaning of clauses 
14 (g) and (j) of the said Regulation; and 



93 



680 O. Reg. 64/89 



THE ONTARIO GAZETTE 



O. Reg. 65/89 



(c) is a Canadian citizen or is a permanent resi- 
dent within the meaning of the Immigration 
Act, 1976 (Canada). O. Reg. 64/89, s. 1. 

Elevor Caplan 
Minister of Health 

Dated at Toronto, this 23rd day of December, 1988. 

7/89 



MINISTRY OF HEALTH ACT 

O. Reg. 65/89. 

Grants to the University Faculties of 

Medicine and General 

Hospitals — Pre-internship Programs. 
Made — December 23rd, 1988. 
Approved — February 2nd, 1989. 
Filed— February 3rd, 1989. 



REGULATION MADE UNDER THE 
MINISTRY OF HEALTH ACT 

GRANTS TO THE UNIVERSITY FACULTIES 

OF MEDICINE AND GENERAL 
HOSPITALS— PRE-INTERNSHIP PROGRAMS 

1. — (1) The Minister may make a grant to the Uni- 
versity of Toronto Faculty of Medicine for the fiscal 
year commencing on the 1st day of April, 1988 in the 
amount of $1,211,919 for the purpose of providing a 
pre-internship program within the meaning of clause 
14 (ha) of Regulation 448 of Revised Regulations of 
Ontario, 1980 to up to twenty-four persons each of 
whom, 

(a) has a degree in medicine from an acceptable 
unaccredited medical school within the 
meaning of clause 14 (b) of the said Regula- 
tion; 



(b) is a Canadian citizen or is a permanent resi- 
dent within the meaning of the Immigration 
Act, 1976 (Canada); and 

(c) has been ordinarily present in Ontario during 
the twelve months immediately preceding 
the commencement of the pre-internship pro- 
gram. 

(2) The Minister may make a grant to the university 
faculties of medicine and general hospitals listed in 
Column 1 of the Schedule for the purpose of providing 
up to twenty-four persons each of whom completed in 
Ontario by the end of June, 1988 a pre-internship pro- 
gram within the meaning of clause 14 (ha) of the said 
Regulation a comprehensive internship or a rotating 
internship within the meaning of clauses 14 (g) and (j) 
of the said Regulation for the fiscal year commencing 
on the date set out opposite thereto in Column 3 of the 
Schedule in the amount set out opposite thereto in Col- 
umn 2 of the Schedule. 

(3) The Minister may make a grant to the university 
faculties of medicine and general hospitals listed in 
Column 1 of the Schedule for the fiscal year commenc- 
ing on the 1st day of April, 1988 in the amount of 
$33,796 for each person who, 

(a) is enrolled in a pre-internship program 
within the meaning of clause 14 (ha) of the 
said Regulation; 

(b) is exempted by the Registration Committee 
of the College of Physicians and Surgeons of 
Ontario from the licensing requirement to 
successfully complete a pre-internship pro- 
gram within the meaning of clause 14 (ha) of 
the said Regulation; and 

(c) is provided by the university faculty of medi- 
cine and general hospital with a comprehen- 
sive internship or a rotating internship 
within the meaning of clauses 14 (g) and (j) 
of the said Regulation. 

(4) It is a term and condition of a grant made under 
subsection (1) that the amount of the grant will be 
reduced by an amount equal to the amount of a grant 
made under subsection (3). O. Reg. 65/89, s. 1. 



94 



O. Reg. 65/89 



THE ONTARIO GAZETTE 

Schedule 



O. Reg. 66/89 681 



Column 1 


Column 2 


Column 3 


Faculty of Medicine 
and General Hospitals 


Amount of Grant 


Fiscal Year 






University of Ottawa and The Children's Hospital of 
Eastern Ontario, Ottawa Civic Hospital and Ottawa 
General Hospital 


$101,266 


AprUl, 1988 


Queen's University and Hotel Dieu Hospital and 
Kingston General Hospital 


5101,218 


AprU 1, 1988 


McMaster University and Chedoke-McMaster Hospi- 
tal, Hamilton Civic Hospital and St. Joseph's Hospital 


5101,557 


April 1, 1988 


University of Western Ontario and St. Joseph's Hos- 
pital, University Hospital and Victoria Hospital 


5101,404 


AprUl, 1988 


University of Toronto and The Doctors Hospital, 
The Hospital for Sick Children, Mount Sinai Hospi- 
tal, North York Branson Hospital, North York Gen- 
eral Hospital, St. Michael's Hospital, Scarborough 
General Hospital, Sunnybrook Hospital, The Welles- 
ley Hospital, The Toronto Hospital and Women's 
College Hospital 


$405,647 


AprUl, 1988 



Dated at Toronto, this 23rd day of December, 1988. 
7/89 



O. Reg. 65/89, Sched. 

Elinor Caplan 
Minister of Health 



MINISTRY OF HEALTH ACT 

O. Reg. 66/89. 

Grants to the University Faculties of 

Medicine and General 

Hospitals — Comprehensive Internships 

and Rotating Internships. 
Made — December 23rd, 1988. 
Approved — February 2nd, 1989. 
Filed— February 3rd, 1989. 



REGULATION MADE UNDER THE 
MINISTRY OF HEALTH ACT 

GRANTS TO THE UNIVERSITY FACULTIES 

OF MEDICINE AND GENERAL 

HOSPITALS— COMPREHENSR'E 

INTERNSHIPS AND ROTATING ES'TERNSHIPS 

1. The Minister may make a grant to the university 
faculties of medicine and general hospitals listed in 
Column 1 of the Schedule for the purpose of providing 
up to 607 persons each of whom has a degree in medi- 



cine from an accredited medical school within the 
meaning of clause 14 (d) of Regulation 448 of Revised 
Regulations of Ontario, 1980, a comprehensive intern- 
ship or a rotating internship within the meaning of 
clauses 14 (g) and (j) of the said Regulation for the fis- 
cal year commencing on the date set out opposite 
thereto in Column 3 of the Schedule in the amount set 
out opposite thereto in Column 2 of the Schedule. 
O. Reg. 66/89, s. 1. 

2. It is a term and condition of a grant made under 
section 1 that, where a faculty of medicine or a general 
hospital receives an amount of a grant, the faculty of 
medicine or the general hospital, as the case may be, 
give priority to the placing of persons each of whom 
has a degree in medicine from a medical school in 
Ontario that is, at the time that each person is granted 
the degree in medicine, accredited by the Committee 
on Accreditation of Canadian Medical Schools to 
ensure that each person who has a degree in medicine 
from a medical school in Ontario that is accredited by 
the said Committee is provided with an approved 
internship within the meaning of clause 14 (f) of Regu- 
lation 448 of Revised Regulations of Ontario, 1980. 
O. Reg. 66/89, s. 2. 



95 



682 



THE ONTARIO GAZETTE 



Schedule 



O. Reg. 66/89 



Column 1 


Column 2 


Column 3 


Faculty of Medicine 
and General Hospitals 






Amount of Grant 


Fiscal Year 


University of Ottawa and The Children's Hospital of 
Eastern Ontario, Ottawa Civic Hospital and Ottawa 
General Hospital 


$2,358,995 


AprU 1, 1988 


Queen's University and Hotel Dieu Hospital and 
Kingston General Hospital 


$1,455,618 


April 1, 1988 


McMaster University and Chedoke-McMaster Hospi- 
tal, Hamilton Civic Hospital and St. Joseph's Hospital 


$2,303,799 


April 1, 1988 


University of Western Ontario and St. Joseph's Hos- 
pital, University Hospital and Victoria Hospital 


$2,838,501 


April 1, 1988 


University of Toronto and The Doctors Hospital, 
The Hospital for Sick Children, Mount Sinai Hospi- 
tal, North York Branson Hospital, North York Gen- 
eral Hospital, St. Michael's Hospital, Scarborough 
General Hospital, Sunnybrook Hospital, The Welles- 
ley Hospital, The Toronto Hospital and Women's 
College Hospital 


$11,374,099 


AprU 1, 1988 



Dated at Toronto, this 23rd day of December, 1988. 
7/89 



O. Reg. 66/89, Sched. 

Elinor Caplan 
Minister of Health 



96 



THE ONTARIO GAZETTE 683 

INDEX? 



GOVERNMENT NOTICES 



Proclamations 533 

Fire Marshak Act 537 

Assessment Act 537 

Motor Vehicle Transport Act, 1987 537 

Certificates of Incorporation 566 

Letters Patent of Incorporation Issued 587 

Certificates of Amalgamation 588 

Certificates of Continuance 589 

Transfer of Ontario Corporations 590 

Restated Certificates of Incorporation 590 

Amendments to Articles 590 

Articles of Revival 595 

Supplementary Letters Patent Issued 596 

Orders Reviving Corporate Powers 596 

Extra-Provincial Licence Endorsed 596 

Certificates of Dissolution 596 

Decisions on Applications for Audit Exemption 597 

Notice of Default in Complying with the Corporations Tax Act 598 

Cancellation of Certificates of Incorporation (Corporations Tax Act Defaulters) 602 

Cancellation of Letters Patent 605 

Marriage Act 605 

Change of Name Act ,. 606 

Order in Council 613 

Environmental Assessment Act 613 

Workers' Compensation Board of Ontario 615 

Applications to Provincial Parliament — Private Bills 648 

Petitions to Provincial Parliament 648 

Applications to Provincial Parliament 649 

CORPORATION NOTICES 650 

DISSOLUTION OF PARTNERSHIP 655 

MISCELLANEOUS NOTICES 655 

SHERIFFS' SALES OF LANDS 655 

SALE OF LAND FOR TAX ARREARS BY PUBUC TENDER 658 

PUBLICATIONS UNDER THE REGULATIONS ACT 

Blind Persons' Rights Act O. Reg. 52/89 664 

Cemeteries Act O. Reg. 56/89 667 

Charitable Institutions Act O. Reg. 43/89 659 

Conservation Authorities Act O. Reg. 60/89 669 

Family Benefits Act O. Reg. 44/89 660 

Game and Fish Act O. Reg. 53/89 664 

General Welfare Assistance Act O. Reg. 45/89 660 

Health Disciplines Act O. Reg. 62/89 €79 

Health Disciplines Act O. Reg. 63/89 €79 

Highway Traffic Act O. Reg. 49/89 662 

Highway Traffic Act O. Reg. 61/89 673 

Homes for the Aged and Rest Homes Act O. Reg. 42/89 659 

Homes for the Aged and Rest Homes Act O. Reg. 46/89 661 

Liquor Licence Act O. Reg. 57/89 t€7 

Milk Act O. Reg. 58/89 668 

Ministry of Health Act O. Reg. 64/89 679 

Ministry of Health Act O. Reg. 65/89 680 

Ministry of Health Act O. Reg. 66/89 681 



684 THE ONTARIO GAZETTE 




REGULATION MADE UNDER 
THE OFFICIAL NOTICES PUBLICATION ACT 

The Ontario Gazette is published each Saturday and advertisements must be received before 
Thursday 4 p.m. 9 days before publication date to ensure inclusion in the next issue. 

Advertisements should be typewritten or printed legibly, separate from covering letter. Number of 
insertions required must be stated and the names of any signing officers typewritten or printed. 

Advertising Rate: SI 1.45 per-single column 25 mm. 



The rates payable for copies of The Ontario Gazette are, 

by subscribers for a subscription of 52 weekly issues, $69.00 and 
by others for a single copy, $L50 Payable in advance. 

Rates subject to change without notice. 



The above subscription rate includes book rate mailing. 
For 1st class mail service please add .S52.00. 



Cheques should be made payable to THE TREASURER OF ONTARIO and 
forwarded to THE ONTARIO GAZETTE. 

All correspondence should be addressed: 

The Ontario Gazette 

5th Floor, 880 Bay Street, Toronto, Ontario M7A 1N8 
Telephone 965-2238 

Please notify the Gazette Office of any address changes. 



from PUBLICATIONS ONTARIO 



LIMITED PARItJERSHIP AGI and RBGUIÀTTC»! 578, S^5t. 88 $ 2.50 

REGULATICN 262/80, Education Act, Bilingual, S^t. 88 1.25 

♦PESTICIDES ACT and PECULATION 751/80, Oct. 88 4.00 

*HJBLIC HOSPITAIS ACT and REGUIATIOIS, Sept. 88 4.50 

*RESIDE37nAL RENI REGUIATIC^ ACT 1986 and REGUIATIONS 

Oct. 88 9.00 

OISA and WHMIS RBGUIÀTK^, Dec. 88 1.50 
ANNUAL REPORT: Ministry of the Attorney Genercd 

Bilingual, 86-87 10.00 
RAPPORT ANNUEL: Offices des affaires francophcxies 

bilingue, 87-88 3.00 
ASSESSING IMPACT, An Economic Iirpact Model for 

Municipal Recreation, 1988 20.00 

EMXS BENEFIT FOFMUIARY, Bilingual Edition, (taxable) 1.00 
LE FHENCMENE DES DECRDCH^JRS DANS IZS EOOIES 

SECONDAIRES DE L'ONTARIO 10.50 

ONTARIO LABOUR RELÀTIOÏS BOARD REPŒ^TS, Oct. 88 6.25 

GEOLOGY AND SCENERY, North Shore of Late Huron Region 2.00 

PROVINCIAL AUDITOR, Annual Ri^»rt 1988 4.00 
ONTARIO ENERGY BOARD, Reasons for Decision - Consumers 

Gas - EBRO 452 14.00 
Advisory Coinmittee on SUBSTITUTE DECISICW MAKING for 

MENTALLY INCAPABLE PERSONS 15.00 
ONTARIO'S MINES and MINERALS POLICY and LEGISLATK^: 

A Green Paper 5.00 
LA POLLTTQUE ET LA LEGISLATION DE L'C^TTARIO, En 

matière de mines et de minéraux, une livre vert 5.00 

ONTARIO NIAGARA PARKS PLANNING: The Second Century 39.00 

SELECT COMMUTEE ON EDUCATlOti: First Ri^xjrt 3.50 

FIRE CODE, Feb. 1987 13.00 
ONTARIO ASSESSMENT INSTRUMENT POOL: French as a 

second language 15.00 

ENJOYING RESEARCH? 10.00 

INTROCUCLTON TO OOMJNTTY PLANNING, Bilingual editicn 7.50 

♦Bilingual office consolidations with English only regulations. 

2/89 
For personal shopping: For mail orders: 
Publications Ontario Bookstore Publications Ontario 
880 Bay Street, Toronto 5th Floor, 880 Bay Street 
9am-5pn, Monday to Friday Toronto, Ontario, M7A 1N8 
Telefiione: 965-2054 (416) 965-6015; 1-800-268-7540 

Area code 807-O Zenith 67200 



O. Reg. 67/89 



THE ONTARIO GAZETTE 



O. Reg. 68/89 793 



Publications Under The Regulations Act 



Februar> 25th, 1989 



GASOLINE HAXDLLNG ACT 

O. Reg. 67/89. 
Gasoline Handling Code. 
Made — Februan 2nd. 1989. 
Filed — Februar\ 7th. 1989. 



REGULATION TO AME.ND 

REGULATION 439 OF 

REVISED REGULATIONS 

OF ONTARIO. 1980 

MADE UNDER THE 

GASOLINE HANDLING ACT 

1. Section 3 of Regulation 439 of Revised 
Regulations of Ontario, 1980 is amend- 
ed by adding thereto the following sub- 
section: 

(4) Automotive gasoline shall not have an oxygen 
content that is greater than 0.5 per cent mass. 
O. Reg. 67/89. s. 1. 

8/89 



O.NT.ARIO MU.MCIPAL K.VIPLO^ KKS 
RKTIRHMKNT SYSTEM ACT 

O. Reg. 68/89. 

General. 

Made — Februar>- 2nd. 1989. 

Filed — FebruîUA- 8th. 1989. 



REGULATION TO A.VIE.ND 

REGULATION 724 OF 

REVISED REGULATIONS 

OF ONTARIO. 1980 

MADE UNDER THE 

ONTARIO MUNICIPAL 

EMPLOYEES RETIREMENT 

SYSTEM ACT 

1. — (1) Section 11 of Regulation 724 of 
Revised Regulations of Ontario. 1980 
is amended by adding thereto the fol- 
lowing subsection: 

(3a) In subsection (3). "policemen" includes police 
cadets. O. Reg. 68/89. s. 1 (1). 



(2) Subsection 11 (4), as remade by section 
2 of Ontario Regulation 92/87, subsec- 
tion 11 (4a), as made by section 2 of 
Ontario Regulation 92/87, and subsec- 
tion 11 (5), as made by section 3 of 
Ontario Regulation 641/81 and 
amended by section 6 of Ontario Reg- 
ulation 70/83, of the said Regulation 
are revoked and the following substi- 
tuted therefor: 

(4) The normal retirement age of a member who. 

(a) is contributing to the Fund on the basis of a 
normal retirement age of sixty years; 

(b) preN-iously contributed to the Fund on the 
basis of a normal retirement age of sixt>-five 
years; and 

(c) has not withdrawn from the Fund any of the 
contributions referred to in clause (b). 

shall be deemed to be sixty years for his or her entire 
period of credited ser\'ice. and the period of his or her 
credited ser\nce while his or her normal retirement age 
was sixt>-five years shall be reduced b>- one-third, 
unless credit is established in the Fund by or in respect 
of the member of an amount, determined by the Board 
on the ad\-ice of the actuan.-. equal to the difference 
between the present value of the pension earned based 
on credited ser\ice while the member's normal retire- 
ment age was sixty-five years and the same pension 
calculated as if the member's normal retirement age 
had been sixty years. 

(5) A member who, 

(a) is contributing to the Fund on the basis of a 
normal retirement age of sixty-five years; 

(b) previously contributed to the Fund on the 
basis of a normal retirement age of sixty 
years; and 

(c) has not withdrawn from the Fund any of the 
contributions referred to in clause (b). 

shall have placed to his or her credit in the Fund an 
amount representing the excess of contributions made 
by the member under section 9 on the basis of a normal 
retirement age of sixty years over contributions that 
would have been made by the member under section 9 
on the basis of a normal retirement age of sixty-five 
years, plus any contributions made by the member 
under subsection (4). together with interest thereon 



97 



794 O. Reg. 68/89 



THE ONTARIO GAZETTE 



O. Reg. 70/89 



calculated in the manner provided in subsection 18 (3), 
for the establishment of a benefit, determined by the 
Board on the advice of its actuary, payable in addition 
to and under the same conditions as any other benefit 
payable under this Regulation. 

(6) Notwithstanding subsection 18(1) and in lieu of 
the benefit referred to in subsection (5), a member who 
ceases to be an employee or councillor of an employer 
may, by written request to the executive-director, 
request that the contributions referred to in subsection 
(5) be paid to him or her, together with interest thereon 
at the rate set forth in subsection 18 (3) less the amount 
of benefits that have been paid. 

(7) The normal retirement age of a member who, 

(a) is contributing to the Fund on the basis of a 
normal retirement age of sixty years; 

(b) previously contributed to the Fund on the 
basis of a normal retirement age of sixty-five 
years and before that contributed to the Fund 
on the basis of a normal retirement age of 
sixty years; and 

(c) has not withdrawn from the Fund any of the 
contributions referred to in clause (b), 

shall be deemed to be sixty years for his or her entire 
period of credited service, and the period of credited 
service to the credit of the member based on a normal 
retirement age of sixty-five years shall be reduced by 
one-third unless, 

(d) in respect of a prior period during which the 
member contributed to the Fund on the basis 
of a normal retirement age of sixty-five years, 
credit is established in the Fund by or in 
respect of the member to the Fund of an 
amount calculated in accordance with sub- 
section (4); and 

(e) in respect of a prior period during which the 
member previously contributed to the Fund 
on the basis of a normal retirement age of 
sixty years, credit is established in the Fund 
by or in respect of the member of an amount 
equal to the excess of contributions made by 
the member referred to in subsection (5), 
together with interest thereon calculated in 
the manner provided in subsection 18 (3). 

(8) If a member's age is sixty years or more, the 
one-third reduction referred to in subsections (4) and 
(7) shall equal one-fifteenth times the number of com- 
plete years and months that the member's age is less 
than sixty-five years, and the calculation of the 
amount referred to in subsections (4) and (7) shall be 
modified accordingly. O. Reg. 68/89, s. 1 (2). 

2. Subsection 1 (2) shall be deemed to 
have come into force on the 1st day of 
January, 1989. 



8/89 



REGISTRY ACT 

O. Reg. 69/89. 

Office Hours. 

Made — February 8th, 1989. 

Filed— February 8th, 1989. 



REGULATION MADE UNDER THE 
REGISTRY ACT 

OFFICE HOURS 

1. Despite section 4 of Regulation 896 of Revised 
Regulations of Ontario, 1980 (Forms and Records) and 
section 52 of Ontario Regulation 75/82 (Forms, 
Records and Procedures), the Land Registry Office for 
the Registry Division of Algoma (No. 1) and the Land 
Titles Division of Algoma (No. 1) shall be kept open 
from 9.30 o'clock in the forenoon until 2.00 o'clock in 
the afternoon, local time, on the 8th day of February, 
1989. O. Reg. 69/89, s. 1. 

2. This Regulation expires with the 9th day of Feb- 
ruary, 1989. 

Ronald A. Logan 
Director of Land Registration 

Dated at Toronto, this 8th day of February, 1989. 



8/89 



PLANNING ACT, 1983 

O. Reg. 70/89. 

Zoning Areas — Part of Pays Plat Bay in the 

Territorial District of Thunder Bay. 
Made — February 9th, 1989. 
Filed— February 9th, 1989. 



ORDER MADE UNDER THE 
PLANNING ACT, 1983 

ZONING AREAS— PART OF PAYS PLAT BAY IN 

THE TERRITORIAL DISTRICT OF 

THUNDER BAY 

1. In this Order, 

"accessory", when used to describe a use, building or 
structure, means a use, building or structure that is 
normally incidental or subordinate to the principal 
use, building or structure on the same lot; 

"dwelling unit" means one or more habitable rooms, 
occupied or capable of being occupied as an inde- 
pendent and separate housekeeping establishment 
in which separate kitchen and sanitary facilities are 
provided for the exclusive use of the unit; 



98 



O. Reg. 70/89 



THE ONTARIO GAZETTE 



O. Reg. 72/89 795 



"lot" means a parcel of land shown as a lot on plans 
55M-514 and 55M-430 registered in the Land Reg- 
istry Office for the Land Titles Division of Thunder 
Bay (No. 55); 

"seasonal dwelling" means a separate building con- 
taining only one dwelling unit used for recreation 
and not occupied as a permanent residence. 
O. Reg. 70/89, s. 1. 

2. This Order applies to those lands on that part of 
Island "B" in Pa>'s Plat Bay in the Territorial District 
of Thunder Bay, being lots 1 to 31 inclusive on Han 
S5M-514 and lots 1 to 27 and blocks 28 to 34 inclusive 
on Plan 5SM-430 all as registered in the Land Registry 
Office for the Land Titles Division of Thunder Bay 
(No. SS). O. Reg. 70/89, s. 2. 

3. — (1) No building or structure shall be erected or 
used on land except for one seasonal dwelling and 
buildings and structures accessory thereto. 






(2) Every use of land is prohibited except for uses 
accessory to seasonal dwellings. O. Reg. 70/89, s. 3. 

JohnEakins 
Minister of Municipal Affairs 

Dated at Toronto, this 9th day of February, 1989. 

8/89 



PROFESSIONAL ENGINEERS ACT. 1984 

O. Reg. 71/89. 

General. 

Made — November I8th, 1988. 

Approved — Februar\ 2nd, 1989. 

Filed — Februar\ 10th. 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 538/84 

MADE UNDER THE 

PROFESSIONAL ENGINEERS ACT, 

1984 

1. Paragraph 3 of section 48 of Ontario 
Regulation 538/84 is revoked. 

2. Section 88 of the said Regulation, as 
last amended by section 1 of Ontario 
Regulation 96/85, is revoked. 

Association of Professional 
Engineers of Ontario: 

W. H. Kerr 
President 



P. J. Osmond 
Registrar 

Dated at Toronto, this 18th day of November. 1988. 



8/89 



PROFESSIONAL ENGINEERS ACT. 1984 

O. Reg. 72/89. 

General. 

Made — November 18th. 1988. 

.Approved — Februar>- 2nd. 1989. 

FUed — FebruarN- 10th. 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 538/84 

MADE UNDER THE 

PROFESSIONAL ENGINEERS ACT, 

1984 

1. Section 48 of Ontario Regulation 
538/84, as amended by section 1 of 
Ontario Regulation 71/89, is further 
amended by adding thereto the follow- 
ing paragraph: 

3. The applicant must certifv- in a form that will 
be supplied by the Registrar that, 

i. the applicant is insured against pro- 
fessional liability in accordance with 
subsection 88 (1). 



u. 



the applicant is participating in the 
Indemnity Plan of the Ontario .Associ- 
ation of Architects in accordance with 
clause 88 (2) (a) and the applicants 
practice is limited to professional 
activities covered by that Plan, 



iii. the appliccmt has other insurance in 
accordance with clause 88 (2) (b). 

iv. the applicant is not required to have 
professional liabilit>' insurance 
because any such insurance would be 
in respect of pollution hazards, nu- 
clear hazards, a\nation hazards or 
shipping hazards, or 

v. the applicant will comply with section 
88 in the manner proxided by that 
section by notif>ing each person to 
whom the applicant intends to pro- 
vide professional engineering services 
that the applicant is not insured in 
«iccordance with the minimum 
requirements of that section. 



99 



796 O. Reg. 72/89 



THE ONTARIO GAZETTE 



O. Reg. 73/89 



2. The said Regulation is amended by 
adding thereto the following section: 

88. — (1) Subject to subsection (2), a holder of a cer- 
tificate of authorization must be insured against pro- 
fessional liability under a policy of professional liabil- 
ity insurance which complies with the following 
minimum requirements: 

1 . A policy limit for each single claim of not less 
than $250,000 and either an aggregate policy 
limit for all claims of not less than $500,000 
per year or an automatic policy limit 
reinstatement feature. 

2. A maximum deductible amount under the 
policy of the greater of $5 , 000 or 5 per cent of 
the annual fees the holder billed in the twelve 
months immediately before the issuance of 
the policy. 

3. Coverage for liability for errors, omissions 
and negligent acts arising out of the perfor- 
mance of all services within the practice of 
professional engineering offered or provided 
to the public by the insured subject to such 
exclusions and conditions and otherwise on 
such terms as are consistent with normal 
insurance industry practice from time to 
time. 

4. A provision that neither party may cancel or 
amend the policy of insurance in a way that 
results in non-compliance with this Regula- 
tion without first giving the other party at 
least forty-five days written notice or, in the 
event of non-payment of premiums, fifteen 
days written notice. 

5. The insurance must be placed with an 
insurer with an aggregate capital and surplus 
of at least $20,000,000. 

(2) A holder of a certificate of authorization is not 
required to be insured against professional liability 
under subsection (1) if, 

(a) the holder is participating in the Indemnity 
Plan of the Ontario Association of Architects 
and the holder's practice is limited to profes- 
sional activities covered by that Plan; 

(b) substantially all claims arising out of the ser- 
vice performed within the practice of profes- 
sional engineering would be covered by other 
insurance whose terms of coverage are not 
materially less than the minimum require- 
ments under subsection (1); 

(c) the professional liability insurance would be 
in respect of pollution hazards, nuclear 
hazards, aviation hazards or shipping 
hazards; or 



(d) before entering into an agreement to provide 
professional engineering services, the holder 
notifies each person to whom the holder 
intends to provide professional engineering 
services that the holder is not insured in 
accordance with the minimum requirements 
of this section and receives from each such 
person written authority to provide those 
services without that insurance. 

(3) The notice under clause (2) (d), 

(a) shall include a statement that the regulation 
under the Professional Engineers Act, 1984 
requires the holder to notify any person to 
whom professional engineering services are 
to be provided if the holder is not insured for 
professional liability in accordance with the 
minimum requirements of that regulation; 

(b) shall include a statement to be signed by the 
person to whom the services are to be pro- 
vided that the person understands that the 
holder is not so insured; and 

(c) shall prominently display the following 
statement above the statement referred to in 
clause (b): 

"The undersigned hereby advises you that 
the undersigned is not insured for profession- 
al liability in accordance with the minimum 
requirements of Ontario Regulation 538/84 
made under the Professional Engineers Act, 
1984". O. Reg. 72/89, s. 2. 

3. This Regulation comes into force on 
the 1st day of April, 1989. 

Association of Professional 
Engineers of Ontario: 

VV. H. Kerr 
President 

P. J. Osmond 
Registrar , 

Dated at Toronto, this 18th dav of November, 1988. 



LAND TITLES ACT 

O. Reg. 73/89. 

Forms, Records and Procedures. 
Made— February 9th, 1989. 
Filed— February 10th, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 75/82 

MADE UNDER THE 

LAND TITLES ACT 



100 



O. Reg. 73/89 



THE ONTARIO GAZETTE 



O. Reg. 75/89 797 



1. — (1) Subsection 12b (5) of Ontario 
Regulation 75/82, as remade and 
amended by section 1 of Ontario Reg- 
ulation 373/88, is further amended by- 
adding thereto the following para- 
graphs: 

6. Niagara South (Xo. 59). 

7. Metropolitan Toronto (No. 66). 

(2) Subsection 12b (6) of the said Regula- 
tion, as remade and amended by sec- 
tion 1 of Ontario Regulation 373/88, is 
further amended by adding thereto the 
following paragraphs: 

6. Niagara South (No. 59). 

7. Metropolitan Toronto (No. 66). 

(3) Section 12b of the said Regulation, as 
made by section 1 of Ontario Regula- 
tion 133/85 and last amended by sec- 
tion 1 of Ontario Regulation 373/88. is 
further amended by adding thereto^ the 
following subsections: 

(8) Notwithstanding subsection 12b (1), all land 
titles di\-isions are designated for the purposes of sec- 
tion 85b of the Act where the instrument or application 
to be registered is the bilingual version of Form 1,2.3, 
4 or 5 of Ontario Regulation 580/84 (General). 

(9) Notwithstanding subsections 12b (2) and (3), 
where the instrument or application to be registered b 
the biUngual version of Form 1. 2. 3, 4 or 5 of Ontario 
Regulation 580/84 (General) and words have been 
added to the instrument or application and the land 
registrar is of the opinion that all the words that have 
been added appear in both the English and French 
languages, the instrument or document may be regis- 
tered. O. Reg. 73/89. s. 1 (3). 

2. This Regulation comes into force on 
the 6th dav of March, 1989. 



8/89 



REGISTRY ACT 

O. Reg. 74/89. 
Forms and Records. 
Made — Februar> 9th, 1989. 
Filed — Februarv 10th, 1989. 



REGULATION TO AMEND 

REGULATION 896 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

REGISTRY ACT 



1.— (1) Subsection 19a (10) of Regula- 
tion 896 of Revised Regulations of 
Ontario, 1980, as remade and amended 
by section 1 of Ontario Regulation 
374/88, is further amended by adding 
thereto the following paragraphs: 

8. Niagara South (No. 59). 

9. Toronto (No. 63). 

10. Toronto Boroughs (No. 64). 

(2) Subsection 19a (11) of the said Regu- 
lation, as remade and amended by sec- 
tion 1 of Ontario Regulation 374/88, is 
further amended b>" adding thereto the 
following paragraphs: 

8. Niagara South (No. 59). 

9. Toronto (No. 63). 

10. Toronto Boroughs (No. 64). 

(3) Section 19a of the said Regulation, as 
made by section 1 of Ontario Regula- 
tion 787/83 and last amended by sec- 
tion 1 of Ontario Regulation 374/88, is 
further amended by adding thereto the 
following subsections: 

(13) Notwithstanding subsection (1), all registry- 
divisions are designated for the purposes of section 38a 
of the Act where the instrument to be registered or 
document to be deposited is the bilingual version of 
Form 1. 2. 3, 4 or 5 of Ontario Regulation 580/84 
(General). 

(14) Notwithstanding subsections (7) and (8), where 
the instrument to be registered or document to be 
deposited is the bilingual version of Form 1. 2. 3, 4 or 5 
of Ontario Regulation 580/84 (General) and words 
have been added to the instrument or document and 
the land registrar is of the opinion that all the words 
that have been added appear in both the English and 
French languages, the instrument or document may be 
registered. O. Reg. 74/89. s. 1 (3). 

2. This Regulation comes into force on 
the 6th day of March, 1989. 

8/89 



LIQUOR LICENCE ACT 

O. Reg. 75/89. 

General. 

Made — February 9th, 1989. 

Filed— February 10th, 1989. 



101 



798 



THE ONTARIO GAZETTE 



O. Reg. 75/89 



REGULATION TO AMEND 

REGULATION 581 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

LIQUOR LICENCE ACT 

1. Regulation 581 of Revised Regulations 
of Ontario, 1980 is amended by adding 
thereto the following section: 



59r. Notwithstanding section 9, liquor may be sold 
and served between the hours of 11.00 p.m. on the 
12th day of February and 1.00 a.m. on the 13th day of 
February, 1989 in the premises of the Encore Svp. 
Restaurant, 33 Yonge Street, Toronto. O. Reg. 
75/89, s. 1. 



102 



I 



THE ONTARIO GAZETTE 799 

INDEX 8 



GOVERNMENT NOTICES 



Motor Vehicle Transport Act, 1987 687 

Certificates of Incorporation 707 

Letters Patent of Incorporation Issued 727 

Certificates of Amalgamation 729 

Certificates of Continuance 735 

Transfer of Ontario Corporations 736 

Restated Certificates of Incorporation 736 

Amendments to Articles 736 

Articles of Revival 743 

Supplementary Letters Patent Issued 743 

Orders Reviving Corporate Powers 743 

Extra-Provincial Licences Endorsed 744 

Extra-Provincial Licences Amended 744 

Decisions on Applications for Audit Exemption 745 

Surrender of Charter and Termination of Existence (Corporations Act) 745 

Notice of Default in Complying with the Corporations Tax Act 746 

Cancellation of Certificates of Incorporation (Corporations Tax Act Defaulters) 748 

Change of Name Act 754 

Loan and Trust Corporations Act 759 

Ministry of Financial Institutions 759 

Pesticides Act 759 

Management Board Orders 1988-89 762 

Workers' Compensation Board 763 

Applications to Provincial Parliament — Private BUls 781 

Petitions to Provincial Parliament 781 

Applications to Provincial Parliament 782 

CORPORATION NOTICES 783 

DISSOLUTION OF PARTNERSHIP 788 

MISCELLANEOUS NOTICES 788 

SHERIFFS' SALES OF LANDS 788 

SALES OF LANDS FOR TAX ARREARS BY PUBLIC TENDER 792 

PUBLICATIONS UNDER THE REGULATIONS ACT 

Gasoline Handling Act O. Reg. 67/89 793 

Land Titles Act O. Reg. 73/89 7% 

Liquor Licence Act O. Reg. 75/89 797 

Ontario Municipal Employees Retirement System Act O. Reg. 68/89 793 

Planning Act, 1983 O. Reg. 70/89 794 

Professional Engineers Act, 1984 O. Reg. 71/89 795 

Professional Engineers Act, 1984 O. Reg. 72/89 795 

Registry Act O. Reg. 69/89 794 

Registry Act O. Reg. 74/89 797 



800 THE ONTARIO GAZETTE 




REGULATION MADE UNDER 
THE OFFICIAL NOTICES PUBLICATION ACT 

The Ontario Gazette is published each Saturday and advertisements must be received before 
Thursday 4 p.m. 9 days before publication date to ensure inclusion in the next issue. 

Advertisements should be typewritten or printed legibly, separate from covering letter. Number of 
insertions required must be stated and the names of any signing officers typewritten or printed. 

Advertising Rate: $11.45 per-single column 25 mm. 



The rates payable for copies of The Ontario Gazette are, 

by subscribers for a subscription of 52 weekly issues, $69.00 and 
by others for a single copy, $1.50 Payable in advance. 

Rates subject to change without notice. 



The above subscription rate includes book rate mailing. 
For 1st class mail service please add $52.00. 



Cheques should be made payable to THE TREASURER OF ONTARIO and 
forwarded to THE ONTARIO GAZETTE. 

All correspondence should be addressed: 

The Ontario Gazette 

5th Floor, 880 Bay Street, Toronto, Ontario M7A 1N8 
Telephone 965-2238 

Please notify the Gazette Office of any address changes. 



NEV^NEV^NE^^NEV^NEW-NEÏ^^Œ^^NEV^NEW^-NEV^NEV^NEVf^NEV^ 

from PUBLICATIONS ONTARIO 



CORONERS ACT and REGUIATIOI 185, Aug. 88 $ 2.50 

CORPORATIONS ACT and RBGUIÀTION 152/82, S^ït. 88 8.50 

MORTGAGE BROKERS ACT and RBGUIATIC»! 662, S^t. 88 2.50 

MOTORIZED SNCW VEHICLES ACT and RBGUIATIO^S, Oct. 88 2.75 

•NURSING HOMES ACI and REGULATIONS 690, Sept. 88 3.50 

OHSA and INDUSTRIAL RBGUIATIOJS, Nov. 88 3.00 

RENTAL HOUSING FPOTECYlOti ACT and REGULATION Dec. 88 2.50 

SECURITIES ACT and REGULATION 910, Sept. 88 8.00 

MUNICIPAL OOUNCILLDR'S MANUAL 10.00 

OLRC REPORT ON TIMESHARING 12.00 
OLRC REPORT ON OMTTRIBUTK»! AMONG WRCM3D0ERS AND 

CONTRIBUTORY NEGLIGENCE 13.00 
ANALYSE COMPARATIVE DES DECROŒEURS ET DES NON- 

DECROCHEURS DANS lES ECOLES SEOCMiAIRES 4.00 

DAY NURSERIES DESIGN GUIDELLNES 2.00 

ENVIR. GUIDELLNES FOR ACCESS ROADS & WATER CROSSINGS 5.00 
SELECT COMMITTEE ON ENERGY ON UYDPO DRAFT 

DeiAND/SUPPLY PLANNING STRATEGY 7.00 

ANNUAIRE FRANOO-ONTARIEN 1988 5.00 

VITAL STATISTICS FOR 1986 20.00 

THE ELECTRONIC LIBRARY MOVING TO IHE YEAR 2000 5.00 
STRIKING A NEW BALANCElA BLUE FRUIT FOR THE REGULATION 

OF ONTARIO'S HEALLH ERDFESSIONS 12.00 

ENGINEERING MANUAL: ALTERNATIVE ENERGY SMALL-HYTOO 52.00 

ONTARIO NIAGARA PARKS PLANNING: The Second Century 39.00 

ANNUAL CHARGE BOOK: Standard Charge Tenns 1988 10.00 
CKTARIO AUTOMOBILE INSURANCE BOARD: Part 4 

Personal Vehicle-Private Passenger Auto Ins. Rates 20.00 

ONTARIO AUTOMOBILE INSURANCE BOARD: Rate Order 1989 8.00 

ONTARIO HOSPITALS DIRECTORY 1989 2.50 
ONTARIO NEW HOME WARRANTIES PLAN ACT and RBGULATIC^S, 

Oct. 88 2.50 

GUIDE & ILLUSTRATTŒsIS: Part 9 Ontario Building Code 15.00 

•Bilingual office consolidations with English only regulations. 

^^^^^^^^^ ^'^'^^^^^ 37^"/ 
For personal shopping: For mail orders: 
Publications Ontario Bookstore Publications Ontctrio 
880 Bay Street, Toronto 5th Floor, 880 Bay Street 
9am- 5pm, Monday to Friday Toronto, Ontario, M7A 1N8 
Telej^ione: 965-2054 (416) 965-6015; 1-800-268-7540 

Area code 807-0 Zenith 67200 



O. Reg. 76/89 



THE ONTARIO GAZETTE 



889 



Publications Under The Regulations Act 



March 4th, 1989 

GAME AND FISH ACT 

O. Reg. 76/89. 

Open Seasons — Moose and Deer. 
Made — Februar\- 9th, 1989. 
Filed— Februar\ 13th, 1989. 



REGULATION TO AMEND 
REGULATION 428 OF REVISED REGULATIONS OF ONTARIO, 1980 

MADE UNDER THE 
GAME AND FISH ACT 

L Schedule 3 to Regulation 428 of Revised Regulations of Ontario, 1980, as remade by 
section 1 of Ontario Regulation 271/88 and amended by section 2 of Ontario Regula- 
tion 512/88, is revoked and the following substituted therefor: 

Schedule 3 

DEER 



I 







(TTirN 1 


(TTim2 


nni»J3 


Œfim4 


Item 




vaidlife 
Lhits 


CÇEn Seasuis 
Ifesidaits 


Opsn Seasons 
NtD-IfesidaiLs 


Qxriitions 


1. 


6, 7B, 9\, 9B, UA 


Octrhpr 7 to 
Deaaiber 15 


Octf+pr 7 to 
Nwet±Er 15 




2. 


6, 7B, 9A, 9B 


Septaiber 16 to 
Septarber 29 


Septenber 16 to 
Sqjtarber 29 


Qily bows and arrows 
nay be used. Nb perscii 
shall use or be 
aooarpBnied hy a dog. 


3. 


6, 7B, Sft, 9B 


Septaiber 30 to 
Octdber 6 


S^jtenber 30 to 
OctrbRr 6 


Qily bows and arrows or 
flint-lock or perniw;ion 
cap nuzzle-lrnding guns 
ney be \vrri. tto person 
dall use or be 
aaaipenied by a dog. 


4. 


7A 


Od-rhpr 7 to 
Deoetiber 15 


Odrbpr 7 to 
NOvetisr 15 


Cnly bows end arrows or 
Qint-lodc or pernK-sicn 
cap nuzzle-lcading guns 
ney be ised. 


5. 


8 


Ntwenber 11 to 
Deoaiber 15 




M3 person shall use or be 
aoocnpanied by a dbg. 


6. 


8 


Octrhpr 1 to 
ttfjpntpt 10 




Qily bows and arrohs 
nay be xrvd. Nb person 
àrall use or be 
aoocnpanied by a dbg. 


7. 


10 




Oct-rhpr 28 to 
Deoenber 15 


October 28 to 
Ntwenber 15 


Nd perscn sl^ll use or be 
anmipanied ty a dbg. 



103 



890 



THE ONTARIO GAZETTE 



O. Reg. 76/89 



Item 



ŒtlJW 1 

WiMLife 

rtragaiEnt 

Uùts 



oaUTN 2 

C{£n Seasons 
Residents 



ŒIIJN 3 

Cpen Seasons 
Ncn-aesidents 



caum 4 
GCnditicns 



8. 10 



October 1 to 
October 27 



October 1 to 
October 27 



Only bows and arrows nay 
be used. No perscn shall 
use or be aooaipanied 
by a dog. 



IIA 



Septenter 23 to 
0:±cber 6 



Septatber 23 to 
October 6 



Oily bows and arrows or 
fLint-lock or percussicn 
cap mjzzle-loading gins 
nay be used. Nb perscn 
shall use or be 
acootpanied hy a dog. 



10. 



IIB, 12A, 12B, 13, 14, 
21A 



Ocbdber 7 to 
Deoertber 15 



U. 



14 



Septenber 16 to 
October 6 



Oily bohB and arrows ney 
be used. Nb perscn shall 
use or be acocrpenied hy 
a dog. 



12. 36, 37, 38, 46, 47, 48, 
49, 50, 53A, 54, 55^, 
55B, 56, 57, 58, 59, 
6QA, 61, 62, 63 



Ntxienber 6 to 
NDvettber 18 



Ivfcwenber 6 to 
N:>^aiber 18 



13. 



37 



October 21 to 
ïtMEnber 5 



0±cber 21 to 
NcMEnber 5 



Oily bows and arrows rtey 
be used. No perscn shall 
use or be aoocnpanied ty 
a dxf. 



14. 



53A, 47 



NDVB±er 20 to 
Dsoaiber 2 



N3VBiber 20 to 
DeuuiLer 2 ■ 



Oily bcws and arrows irey 
be used. Nb perscn shall 
use or be aoocnpenied hy 
a dog. 



15. 



39, 41, 42 



NDva±er 6 to 
NDvenber 18 



16. 



42 



Octcber 7 to 
Mjvenber 3 



Octcber 7 to 
Ncwaiber 3 



Oily bows aid arrows irey 
be used. Nd perscn shall 
use or be aoocnpanied by 
a cbg. 



17. 



43A, 43B 



Nbvatber 20 to 
NbvBiber 24 



Nbvenber 20 to 
Ncwenber 24 



Nb perscn shall use or be 
aoootpenied by a dog. 



18. 



43A, 43B 



Octcber 7 to 
Nbvatber 12 



Octcber 7 to 
NDvaiber 12 



Oily bows and arrows nay 
be used. Nb perscn shall 
use or be acocrpanied by 
a dcg. 



19. 



44 



Ncvenber 6 to 
NDverber 18 



Nb perscn shall use or 
be aoocnpanied hy a dog. 



20. 



45 



NDvenber 6 to 
NDvetrber 10 



N^vstber 6 to 
Novarber 10 



No perscn shall use or 
be aoocnpanied by a dog. 



21. 



45 



Octcber 28 to 
NbvBtter 3 



Octcber 28 to 
N:?,«enber 3 



Oily bows and arrows nay 
be used. No person shall 
use or be acooipenied 
by a dog. 



104 



O. Reg. 76/89 



THE ONTARIO GAZETTE 



891 



I 



Item 


aiim 1 

VûldUfe 


aTIW2 

Cpen Sfflsdjs 
Residents 


OIIW 3 

Open Seascns 
NTHftsidents 


ŒUM^ 4 
Otiditions 




inits 




22. 


48, 57, 6(A 


October 15 to 
NtMedber 5 


Octrbpr 15 to 
N3VRibpr 5 


Qily bows and arrows ney 
be iF«i. rt) person shall 
use or be accotpenied 
by a dog. 




23. 


58, 59, 63 


Octrhpr 15 to 
HyjeAsr 5 
and 

NzMBttber 19 to 
htwenber 30 


Octrber 15 to 
NtMRnber 5 
and 
Nbweiber 19 to 

rtwBiber 30 


Qily bows and êirrows ney 
be used. Na person stell 
use or be aooaipanied 
hy a dog. 




24. 


64 


Octrhpr 15 to 
NcMenber 5 
and 

N:3V€ntsr 12 to 
NtwmiTRr 30 


Octcber 15 to 
Nj^aiber 5 
and 

Ntwenber 12 to 
Mw=nbRr 30 


Qily bows and arrows nav 
be TBpd. Hd perscn sfall 
use or be aoocnpenied 
ty a dbg. 




25. 


55A, 55B 


Mjvenber 19 to 
DeopniTRr 20 


Novenber 19 to 
DExmber 20 


Qily bows and arrows irey 
be \rrr\. lb person shall 
use oi Lh dcxui^Hàed 
by a djg. 




26. 


61, 62 


Ocfrhpr 15 to 
Itueabet 5 
sni 

NbventBr 19 to 
DecHiber 15 


Oct±er 15 to 
NtjywibRr 5 
and 

rtjuenber 19 to 
Deoenber 15 


Qily bows ard arrows ney 
be used. No perscn diall 
use or be amnnpenied 
ty a dog. 




27. 


64, 66^ 67, 68, 74 


Niwenber 6 to 
ïtwaiber 11 


Ntwenber 6 to 
NDvenber 11 






28. 


65 


Nt^^nber 6 bo 
rtowenber 11 


rtMRnber 6 to 
Ntvenber 11 


Qily bows and arrows or 
flint-lcdc or percussicn 
΂ mpyle-lcading guns 
or dntguns nay be used. 
Nd person shall use or 
be aoocnperued by a dog. 




29. 


696 


Ncwaiber 6 to 
NtMPnh>r 11 


Ntvenber 6 to 
Ntjypnbpr 11 


Qily bows and arrows or 
flint-lock or pernKsicn 
cap truzzle-loading gins 
or blotyins nay be iRpd. 




30. 


66B 


Mwaiter 6 to 
NcMPiitTPr 12 


Rwenber 6 to 
Ntvenber 12 


Qily bows and arrows itey 
be iRRd. Nd perscn diall 
UBe oi' Le ai > I ii(Biiied by 
a dog. 




31. 


69ft, 72B 


October 15 bo 
Decafer 31 


Octcber 15 to 
Deoenber 31 


Only bows and arrows ney 
be \KPfl. Nb person shall 
use oi Le dLXJUipaded by 
a dbg. 




32. 


65, 66A, 67 


October 15 to 
Ntwenter 5 
ard 

MjvHiLer 12 to 
DeœntEr 15 


Octrber 15 to 
NcMRnber 5 
and 

Ntwcnber 12 to 
Dscaiber 15 


Qily bows and arrows ney 
be used. No perscn *ail 
use or be armipenied ty 
a dog. 




33. 


68 


Octcber 15 to 
Hjjçs±et 5 
and 

t*:v3iber 12 to 
Dsoenber 31 


Octrber 15 to 
NcK^nber 5 
areJ 

Ntwenber 12 to 
Decpnber 31 


Qily bows ard arrows ney 
be used, tto perscn shall 
use or be aooonpanied ty 
a dog. 





105 



892 



THE ONTARIO GAZETTE 



O. Reg. 76/89 



Item 


mrm i 

vgildlife 

ffenagarent 

Uhits 


(TTim2 

Cpen Seascns 
RBsida±s 


ailVN 3 

cpen Seascns 
Nav^tesidents 


aiim 4 
Qndi tiens 


34. 


69B, 83A 


Oct-ftTPr 15 to 
ttwentfir 5 
arri 

Nbvatber 12 to 
Deœnter 15 




Qily bows and arrows iray 
be iiRfd. No person shall 
use or be acocrrpanied by 
a ctog. 


35. 


71 


NcMailer 6 to 
NcMsnber 11 




Cnly sJotgins nny be 
nsad. Nd perscn shall 
use or be aooaipanied 
by a dog. 


36. 


71, 74 


Oct-fiTpr 15 to 
NDvartjer 5 
and 

Ncwaiber 12 to 
Deœrrber 31 




Oily bows and arrows nray 
be usai. Nd perscn shall 
use or be acxxnpemed ty 
a dog. 


37. 


72A, 73 


Ncwenfcer 6 to 
NDVBtber 9 




Qily stictguns or fLint- 
locx or percussicn cap 
nuzzle-loading guns nray 
be UFRd. No perscn shall 
use or be aooaipanied hy 
a dog. 


38. 


72A 


Octcber 15 to 
NbvQiter 5 
and 

Novatber 10 to 
Deoenber 31 


Octcber 15 to 
NDvarber 5 
and 

NDvatber 10 to 
Deoenber 31 


cnly bows and arrows nw 
be used. No perscn shall 
use or be aocaipanied ty 
a dog. 


39. 


53B, 75, 76B, 76C, 
76D, 77A, 77B, 77C, 
7aA, 78B, 79A, 79C, 
79D, BOPl, bob, aiA, 
81B, 85A, 8a, 85C, 
87B, 87C, 87D 


Ncwenber 6 to 
N3venber 9 




Qily sfiotguns or flint- 
lock or percussicn c^ 
nuzzle-loading gins nray 
be used. No perscn shall 
use or be acxxiipenied ty 
a dog. 


40. 


76A 


NDvaiber 6 to 
Nbvenber 9 




QTly rifles, sfiotgms or 
fLint-lock or percussicn 
c^ nuzzle-lcadirg gins 
nay be iiwri. No person 
shall use or be 
aoocnpanied ty a dog. 


41. 


89A, 8*, 9QA, 90B, 
91A, 91B 


N:A'errber 6 to 
NT^enber 9 
and 

Deoenber 4 to 
Decettber 7 




Cnly shotgms or flint- 
lock or percussicn cap 
nuzzle-lofvling 9ns nay 
be uspd. No perscn shall 
use or be acccrpanied hy 
a dog. 


42. 


92A, 92B, 92C, 92D 


NDvaiber 6 to 
Ntwaiber 9 
and 

Deoenber 4 to 
Deoenber 7 




cnly flintlock or 
percussicn cap nuzzle- 
Irvriing gins nray be used. 
No person shall use or be 
acoonpanied ty a dog. 


43. 


93A, 93B 


Eteoenber 4 to 
Deoenber 7 




cnly stutgins or flint- 
lock or percussicn cap 
mjzzle-loadirg c^ns irey 
be uspd. No perscn shall 
use or be acooipanied hy 
a dog. 



106 



O. Reg. 76/89 



THE ONTARIO GAZETTE 



893 



Item 



OCIim 1 

Wildlife 

Managatent 

Lhits 



CjETi Seasons 
Residents 



crmtj 3 

Cpen Seasons 
Nan-«2sidents 



ŒHTN 4 
Oonditions 



44. 



73, 75, 76A, 76B, 76C, 
76D, 77A, 77B, 77C, 
78A, 78B, 79A, 79C, 
79D, dOPi, 8CB, 81A, 
81B, 85A, 85B, 85C, 
87B, 87C, 87D 



0:±±er 15 to 
Mx^nber 5 
and 

Mjverber 10 to 
Ceoenber 31 



QiLy bows and arrows nty 
be used. Nb perscn shall 
use OT be aooatçenied ty 
a dcg. 



45. 



78C, 78D, 78E, 79B, 
86, 87A, 87E, 88, 
94A, 94B 



Octdber 15 to 
Decetiber 31 



Cnly bcws and arrows iray 
be used. Nd perscn stall 
use or be ecocnpenied by 
a dog. 



46. 


89A, 89B, 9QA, 90B, 
91A, 91B, 92A, 9a, 
92C, 92D 


Octcber 15 to 
Nouenber 5 
and 

Njvenfaer 10 to 
Deoenber 3 
and 

Deoenber 8 to 
Deoenber 31 




Qily bows and arrows rray 
be used. No perscn stell 
use or be auuutiijfciiied ty 
a dbg. 


47. 


93A, 93B 


Octcber 15 to 
Deoerber 3 
arri 

Deoenber 8 to 
Deoenber 31 




Qily bows and arrows ney 
be used. Ito person shall 
use or be acmtpenied ty 
a dog. 


48. 


82A, 82B, 84 


hfcMEnber 6 to 
N::wenber 10 


rt^^nber 6 to 
NDvenber 10 


Nd perscn ^«11 use or 
be arrmpenied hy a dcg. 


49. 


83A 


Ntwoiber 6 to 
rtMenber 11 


Ncwarber 6 to 
ttwenber 11 


N3 perscn shall use or 
be acojiiBiiied hy a dog. 


50. 


83A 


Deoenber 4 to 
Deoenber 7 


Deoenber 4 to 
Deoenber 7 


Qily flintla± or 
percussion cap nuzzle- 
loading gins nep/ be used 
l*> person shall use or be 
acxjutpenied hy a dbg. 


51. 


82A, 82B, 84 


Octrber 15 to 
hbvenber 5 
and 

Ncvenber 11 to 
Deoenber 15 




Chly boi«5 and arrows nay 
be veed. Nd perscn shall 
use or be armtpemed hy 
a acq. 


52. 


83B 


Octrher 16 to 
Deoenber 31 


Octdber 16 to 
Deoenber 31 




53. 


83C 


Octrber 16 to 
t*waiber 5 


Octdber 16 to 
hfcwoiber 5 





9/89 



O. Reg. 76/89, s. 1. 



107 



894 O. Reg. 77/89 



LAND REGISTRATION REFORM 
ACT, 1984 

O. Reg. 77/89. 

General. 

Made — December 8th, 1988. 

Filed— February 13th, 1989. 



THE ONTARIO GAZETTE O. Reg. 79/89 

1. Initial service (office or institutional) $12 

2. Subsequent service 8. SO 

3. Home service 15 

4. Radiographic examination 10 



REGULATION TO AMEND 
ONTARIO REGULATION 580/84 

MADE UNDER THE 

LAND REGISTRATION REFORM 

ACT, 1984 



1. 



Subsection I (2) of Ontario Regulation 
580/84, as remade by section 1 of 
Ontario Regulation 176/87, is amended 
by adding thereto the following para- 
graph: 

2. All that portion of the City of North York 
(originally the Township of York) lying east 
of the westerly limit of Yonge Street as 
widened, north of the southerly limit of 
Finch Avenue as widened and west of the 
westerly limit of Victoria Park Avenue as 
widened. 



9/89 



HEALTH INSURANCE ACT 

O. Reg. 78/89. 

General. 

Made — February 9th, 1989. 

Filed— February 14th, 1989. 



REGULATION TO AMEND 

REGULATION 452 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

HEALTH INSURANCE ACT 

1. Subsection 49 (2g) of Regulation 452 
of Revised Regulations of Ontario, 
1980, as made by section 1 of Ontario 
Regulation 458/87, is revoked and the 
following substituted therefor: 

(2g) The amount payable by the Plan for the ser- 
vices prescribed in subsection (1) is, where the services 
are provided to an insured person on or after the 1st 
day of July, 1987, but before the 1st day of July, 1988, 
as follows: 



(2h) The amount payable by the Plan for the ser- 
vices prescribed in subection (1) is, where the services 
are provided to an insured person on or after the 1st 
day of July, 1988, as follows: 

1. Initial service (office or institutional) $12 

2. Subsequent service 8. 75 

3. Home service 15 

4. Radiographic examination 10 

O. Reg. 78/89, s. 1. 
9/89 



FARM PRODUCTS MARKETING ACT 

O. Reg. 79/89. 
Potatoes — Marketing. 
Made — February 13th, 1989. 
Filed— February 14th, 1989. 



REGULATION TO AMEND 

REGULATION 371 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

FARM PRODUCTS MARKETING 

ACT 

1. Section 15 of Regulation 371 of 
Revised Regulations of Ontario, 1980, 
as amended by section 1 of Ontario 
Regulation 108/81, section 3 of 
Ontario Regulation 96/84 and section 1 
of Ontario Regulation 291/88, is 
revoked and the following substituted 
therefor: 

15. — (1) Where, on or before the second Friday of 
February in any year, a meeting of a negotiating agen- 
cy is not held in accordance with the notice required by 
section 14, or a meeting is held and the negotiating 
agency does not arrive at an agreement respecting all 
matters it is empowered to adopt or settle by agree- 
ment, or the negotiating agency decides that an agree- 
ment cannot be reached and so notifies the Commis- 
sion, the matters in dispute shall be referred by the 
Commission to an Arbitration Board. 



I 



108 



O. Reg. 79/89 



THE ONTARIO GAZETTE 



O. Reg. 80/89 895 



(2) Where a negotiating agency does not arrive at an 
agreement on all matters that it is empowered to adopt 
or settle by agreement, the negotiating agency shall 
submit in writing to the Commission a statement or 
statements of the matters in dispute and a statement of 
the final position on each such matter of, 

(a) the members of the negotiating agency 
appointed by the local board; and 

(b) the members of the negotiating agency 
appointed by the processors. O. Reg. 

79/89, s. 1. 

2. Subsection 16 (6) of the said Regula- 
tion is revoked and the following sub- 
stituted therefor: 

(6) The Arbitration Board shall meet forthwith after 
the appointment of the three members thereof and 
shall make an award in respect of each matter in dis- 
pute which is one of the final positions respecting such 
matter set out in the statements referred to in subsec- 
tion 15 (2). O. Reg. 79/89, s. 2. 

Ontario Farm Products Marketing 
Commission: 

David K. Allés 
Vice-Chairman 

Gloria Marco Borvs 
Secretary 

Dated at Toronto, this 13th day of Februan,-, 1989. 

9/89 



FARM PRODUCTS MARKETING ACT 

O. Reg. 80/89. 

Vegetables for Processing — Marketing. 
Made— Februarv- 8th, 1989. 
Filed— Februan,- 14th, 1989. 



REGULATION TO AMEND 

REGULATION 388 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

FARM PRODUCTS MARKETING 

ACT 

1. Subsections 14 (2), (3) and (4) of Reg- 
ulation 388 of Revised Regulations of 
Ontario, 1980 are revoked and the 
following substituted therefor: 



(2) A conciliation board shall be composed of one 
member. 

(3) Subject to subsection (4), the member of the con- 
ciliation board shall be appointed by the members of 
the negotiating agency. 

(4) Where the members of the negotiating agency 
cannot agree on a person to be appointed as the 
member of the conciliation board, the Commission 
shall appoint the member of the conciliation 
board. O. Reg. 80/89, s. 1. 

2.— (1) Subsections 16 (1) and (2) of the 
said Regulation are revoked and the 
following substituted therefor: 

(1) An Arbitration Board shall be composed of one 
member. 

(2) Subject to subsection (3). the member of the 
Arbitration Board shall be appointed by the members 
of the negotiating agency. O. Reg. 80/89, s. 2 (1). 

(2) Subsections 16 (3), (4), (5) and (6) of 
the said Regulation are revoked and 
the following substituted therefor: 

(3) Where in any year the members of the negoti- 
ating agency cannot agree on a person to be appointed 
as the member of the Arbitration Board within seven 
days after the date mentioned in clause 15 (1) (a), (b) or 
(c), as the case may be, the Commission shall appoint 
the member of the Arbitration Board. O. Reg. 80/89, 
s. 2 (2), part. 

(3) Subsection 16 (8) of the said Regula- 
tion is revoked and the following sub- 
stituted therefor: 

(8) Subject to subsection (9), the Arbitration Board 
shall meet with the parties forthwith after the 
appointment of the member and shall make an award 
in respect of the matters referred to it, or all matters 
that the negotiating agency for the vegetable or veget- 
ables was empowered to adopt or settle by agreement, 
as the case may be. O. Reg. 80/89, s. 2 (3). 

Ontario Farm Products Marketing 
Commission: 

James G. Rickard 
Acting-Chairman 

Gloria Marco Borvs 
Secretary 

Dated at Toronto, this 8th day of February, 1989. 



9/89 



109 



896 



THE ONTARIO GAZETTE 



O. Reg. 81/89 



FARM PRODUCTS MARKETING ACT 

O. Reg. 81/89. 
Seed-Corn — Marketing. 
Made — February 8th, 1989. 
Filed— February 14th, 1989. 



REGULATION TO AMEND 

REGULATION 377 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

FARM PRODUCTS MARKETING 

ACT 

1. Regulation 377 of Revised Regulations 
of Ontario, 1980 is amended by striking 
out "Board" wherever it occurs as a 
reference to The Farm Products Mar- 
keting Board and inserting in lieu 
thereof in each instance "Gommis- 



2. Sections 4, 5, 6 and 7 of the said Regu- 
lation are revoked and the following 
substituted therefor: 

4. — (1) No producer shall sell seed-corn to any per- 
son other than a licensed dealer except under the 
authority of a licence issued by the Commission. 

(2) A licence referred to in subsection (1) is valid 
from the 1st day of July until the 30th day of June of 
the following year. 

(3) A licence referred to in subsection (1) shall be 
issued without fee. O. Reg. 81/89, s. 2, part. 

5. — (1) No person shall deal in seed-corn except 
under the authority of a licence issued by the Commis- 
sion. 

(2) A licence referred to in subsection (1) expires on 
the 30th day of June next following the date on which 
it is issued. 

(3) A licence referred to in subsection (1) shall be 
issued without fee. O. Reg. 81/89, s. 2, part. 

6. The Commission may refuse to grant or renew a 
licence or may suspend or revoke a licence, 

(a) where the applicant or licensee is not qual- 
ified by experience, financial responsibihty or 
equipment to properly engage in the business 
for which the licence is applied for; or 

(b) where the applicant or licensee has failed to 
comply with or has contravened any provi- 
sion of the Act, the regulations, the plan or 



any order or direction of the Commis- 
sion. O. Reg. 81/89, s. 2, part. 

3. Subsection 11 (2) of the said Regula- 
tion is revoked and the following sub- 
stituted therefor: 

(2) The local board and the dealers shall appoint 
their respective members of the negotiating agency 
after the 1st day of January and before the 15th day of 
February and shall notify the Commission in writing 
of the names and addresses of their appointees not 
later than the 1st day of March in each year. O. Reg. 
81/89, s. 3. 

4. Subsections 13a (2), (3) and (4) of the 
said Regulation, as made by section 3 
of Ontario Regulation 67/83, are 
revoked and the following substituted 
therefor: 

(2) A conciliation board shall be composed of one 
member. 

(3) Subject to subsection (4), the member of the con- 
ciliation board shall be appointed by the members of 
the negotiating agency. 

(4) Where the members of the negotiating agency 
cannot agree on a person to be appointed as the 
member of the conciliation board, the Commission 
shall appoint the member of the conciliation 
board. O. Reg. 81/89, s. 4. ., 

5.— (1) Subsection 14 (1) of the said Reg- 
ulation is amended by striking out 
"28th" in the sixth line and inserting in 
lieu thereof "15th". 

(2) The said subsection 14 (1) is further 
amended by striking out "may" in the 
seventh line and inserting in lieu there- 
of "shall". 

(3) Subsection 14 (3) of the said Regula- 
tion is revoked and the following sub- 
stituted therefor: 

(3) Where the negotiating agency does not arrive at 
an agreement on all matters that it is empowered to 
adopt or settle by agreement, it shall submit in writing 
to the Commission a statement or statements of the 
matters in dispute and a statement of the final position 
on each matter of, 

(a) the members of the negotiating agency 
appointed by the local board; and 

(b) the members of the negotiating agency 
appointed by the dealers. O. Reg. 81/89, 
s. 5 (3). 



110 



O. Reg. 81/89 



THE ONTARIO GAZETTE 



O. Reg. 83/89 897 



■v 



6.— (1) Subsections 15 (1), (2), (3) and 
(4) of the said Regulation are revoked 
and the following substituted therefor: 

(1) The Arbitration Board shall be composed of one 
member. 

(2) Subject to subsection (3), the member of the 
Arbitration Board shall be appointed by the members 
of the negotiating agency. 

(3) Where the members of the negotiating agency 
cannot agree on a person to be appointed as the 
member of the Arbitration Board within seven days 
after the Commission is notified under subsection 
14 (2) or by the 15th day of Februar>-. as the case may 
be, the Commission shall appoint the Arbitration 
Board. O. Reg. 81/89, s. 6 (1), part. 

(2) Subsection 15 (6) of the said Regula- 
tion is revoked and the following sub- 
stituted therefor: 

(6) The Arbitration Board shall meet with the par- 
ties forthwith after the appointment of the Board and 
shall make an award in respect of each matter in dis- 
pute referred to the Board which is, 

(a) one of the final positions respecting the mat- 
ter set out in the statements referred to in 
subsection 14 (3); or 

(b) a position between the final positions 
respecting the matter set out in the state- 
ments referred to in subsection 14 (3). 
O. Reg. 81/89, s. 6 (2). 

7.— (1) Subsection 17 (3) of the said Reg- 
ulation, as made by section 3 of 
Ontario Regulation 67/83, is revoked. 

(2) Subsection 17 (5) of the said Regula- 
tion, as made by section 3 of Ontario 
Regulation 67/83, is revoked and the 
following substituted therefor: 

(5) Upon the request of either party, witnesses shall 
be examined on oath. O. Reg. 81/89, s. 7 (2). 

8. Forms 2, 3, 4 and 5 of the said Regula- 
tion are revoked. 

Ontario Farm Products Marketing 
Commission: 

James G. Rickard 
Acting-Chairman 

Gloria Marco Borys 
Secretary 

Dated at Toronto, this 8th day of Februar>', 1989. 

9/89 



DEVELOPMENT CORPORATIONS ACT 

O. Reg. 82/89. 

The Ontario Film Development 

Corporation. 
Made — February 15th. 1989. 
Filed— February iSth, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 37/86 

MADE UNDER THE 

DEVELOPMENT CORPORATIONS 

ACT 

1. Section 5 of Ontario Regulation 37/86 
is revoked and the following substi- 
tuted therefor: 

5. A member may be appointed for a term not 
exceeding three years and is eligible for reappoint- 
ment. O. Reg. 82/89, s. 1. 

9/89 



PUBLIC HOSPITALS ACT 

O. Reg. 83/89. 
Hospital Management. 
Made — February 13th, 1989. 
Approved — February ISth, 1989. 
Filed— February 15th, 1989. 



1. 



REGULATION TO AMEND 

ONTARIO REGULATION 518/88 

MADE UNDER THE 

PUBLIC HOSPITALS ACT 

The definition of "registered nurse" in 
subsection 1 (1) of Ontario Regulation 
518/88 is revoked and the following 
substituted therefon 



'nurse" means a registered nurse within the meaning 
of the Health Disciplines Act; 

2. Clause 2 (3) (e) of the said Regulation 
is revoked and the following substi- 
tuted therefor: 

(e) ensure that the administrator, medical staff, 
staff nurses and nurses who are managers 
develop plans to deal with, 

(i) emergency situations that could place 
a greater than normal demand on the 
services provided by the hospital or 



111 



898 O. Reg. 83/89 



THE ONTARIO GAZETTE 



O. Reg. 84/89 



3. 



disrupt the normal hospital routine, 
and 

(ii) the failure to provide services by per- 
sons who ordinarily provide services 
in the hospital. 

Subsection 4(1) of the said Regulation 
is amended by adding tiiereto the fol- 
lowing clause: 



(f) provide for, 

(i) the participation of nurses who are 
managers and staff nurses in decision- 
making related to administrative, 
financial, operational and planning 
matters in the hospital, and 

(ii) the participation at the committee 
level of staff nurses and nurses who 
are managers, including the election 
by staff nurses of representatives to 
committees and the election or 
appointment to committees of nurses 
who are managers. 

4. The said Regulation is amended by 
adding thereto the following heading 
and section: 



FISCAL ADVISORV COMMITTEE 

4a. — (1) Every board shall establish a fiscal advi- 
sory committee comprised of, 

(a) the administrator; 

(b) if there is a dental staff, only one person 
representing both the medical staff and the 
dental staff; 

(c) if there is no dental staff, one person repre- 
senting the medical staff; 

(d) one person representing nurses who are man- 
agers; 

(e) one person representing staff nurses; and 

(f) such other persons as are elected or 
appointed in accordance with the by-laws of 
the hospital. 

(2) The fiscal advisory committee shall make rec- 
ommendations to the board with respect to the opera- 
tion, use and staffing of the hospital. 

(3) The chairperson of the fiscal advisory committee 
shall be the administrator or a person designated by 
the administrator. O. Reg. 83/89, s. 4. 



Elinor Caplan 
Minister of Health 

Dated at Toronto, this 13th day of February, 1989. 

9/89 



PLANNING ACT, 1983 

O. Reg. 84/89. 

Zoning Areas — ^Part of the Geographic 

Township of Zealand in the Territorial 

District of Kenora. 
Made — January 3 1st, 1989. 
Filed— February ISth, 1989. 



ORDER MADE UNDER THE 
PLANNING ACT, 1983 

ZONING AREAS— PART OF THE GEOGRAPHIC 

TOWNSHIP OF ZEALAND IN THE 

TERRITORIAL DISTRICT OF KENORA 

1. In this Order, 

"accessory", when used to describe a use, building or 
structure, means a use, building or structure that is 
normally incidental or subordinate to the principal 
use, building or structure located on the same lot; 

"dwelling unit" means one or more habitable rooms 
occupied or capable of being occupied as an inde- 
pendent and separate housekeeping establishment 
in which separate kitchen and sanitary facilities are 
provided for the exclusive use of such unit with a 
private entrance from outside the building or from 
a common hallway or stairway inside the building; 

"front lot line" means the high water mark of Wabi- 
goon Lake as regulated to a maximum elevation of 
370 metres Canadian Geodetic Datum; 

"front yard" means a yard extending across the full 
width of the lot between the front lot line and the 
nearest main wall of the main building or structure 
on the lot; 

"guest cabin" means a building with sanitary facilities 
but without cooking facilities that is accessory to a 
seasonal dwelling and used only for purposes of 
sleeping accommodation; 

"lot" means a parcel of land shown as a lot or block on 
Plan M-8S3 registered in the Land Registry Office 
for the Land Titles Division of Kenora (No. 23); 

"lot line" means a boundary of a lot; 

"mobile home" means a dwelling unit that is con- 
structed to be made mobile but does not include a 



112 



O. Reg. 84/89 



THE ONTARIO GAZETTE 



O. Reg. 86/89 899 



travel trailer or tent trafler or trailer otherwise 

designed; 

"recreational purposes" includes skiing, hiking, horse- 
back riding, bicycling and other open air activities; 

"seasonal dwelling" means a sin^e dwelling or mobile 
home to be used for recreational purposes but not 
occupied as a permanent residence or home; 

"yard" means a space open from the ground to the sky 
of the lot on which a building is situate unoccupied 
except for such accessory buildings as are specifi- 
cally permitted in this Order O. Reg. 84/89, s. 1. 



APHJCATION 

2. This Order applies to those lands in the geo- 
graphic Township of Zealand in the Territorial Dis- 
trict of Kenora that are part of the south part of the 
west part of Location H.W. 133 and Location Cll 
4533, being all of the lots and blocks shown on Plan 
Number M-853 registered in the Land Registry Office 
for the Land Titles Division of Kenora (No. 23). 
O. Reg. 84/89, s. 2. 

GENERAL 

3. No land to which this Order applies shall be 
used and no building or structure shall be erected or 
used except in accordance with the terms of this 
Order, but nothing in this Order prevents the use of 
any land, building or structure for any purpose pro- 
hibited by this Order, if such land, building or struc- 
ture was lawfully used for such purposes on the day 
this Order comes into force. O. Reg. 84/89, s. 3. 



PERMITTED USES 

4. — (1) Every use of land and every erection or use 
of buildings or structures on lots 1 to 27 inclusive, on 
Plan M-853, is prohibited except seasonal dwellings 
and uses, buildings and structures accessory thereto, if 
the fc^owing requirements are met: 

1. Not more than one seasonal dwelling and 
one guest cabin shall be erected or used on a 
lot. 

2. All buildings and structures shall be located 
above the elevation of 370 metres Canadian 
Geodetic Datum. 

3. No basement opening in any buflding or 
structure shall be lower than the elevation of 
370 metres Canadian Geodetic Datum. 

(2) In addition to the requirements under subsectkm 
(1), lots 8, 10, 12, 13, 16, 17, 18 and 25 require that the 
front yard be at least 18 metres. 

(3) Every use of land, except for recreational pur- 
poses, is i»ohibited on Block 28 on Plan M-853, and 



no building or structure shall be erected or used 
thereon. O. Reg. 84/89, s. 4. 



REBUIIJ>ING AND REPAIRS 

5. — (1) Nothing in this Order prevents the recon- 
struction of any building or structure that b damaged 
or destroyed by causes beyond the control of the 
owner, if the dimensions of the original building or 
structure are not increased or its original use altered. 

(2) Nothing in this Order prevents the strengthening 
or restoration to a safe condition of any building or 
structure or part of any building or structure. 
O. Reg. 84/89, s. 5. 

JohnEakins 
Minister of Municipal Affairs 

Dated at Toronto, this 3 1st day of January, 1989. 

9/89 

ENVIRONMENTAL ASSESSMENT ACT 

O. Reg. 85/89. 

Designation — TSI Trintek Systems Inc. 

Made — Februar> 9th. 1989. 

Filed— Februarv 16th, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 710/87 

MADE UNDER THE 

ENVIRONMENTAL ASSESSMENT 

ACT 



1. 



9/89 



Section 2 of Ontario Regulation 710/87 
is amended by striking out "at 480 Com- 
missioners Street" in the fourth and 
fifth lines and inserting in lieu thereof 
"located within an area bounded to the 
north by the Keating Channel and the 
Gardiner Expressway, to the east by 
Leslie Street, to the south by the Ship 
Channel and to the west by Cherrj- 
Street". 



HIGHWAY TRAFFIC ACT 

O. Reg. 86/89. 

Commercial Motor Vehicle Inspections. 
Made— February 15th, 1989. 
Ffled— February 16th, 1989. 



113 



900 



THE ONTARIO GAZETTE 



O. Reg. 86/89 



REGULATION MADE UNDER THE 
HIGHWAY TRAFFIC ACT 

COMMERCIAL MOTOR VEHICLE 
INSPECTIONS 

1. — (1) In this Regulation, 

"commercial motor vehicle" means, 

(a) a commercial motor vehicle as defined in 
subsection 15a (1) of the Act, and 

(b) a trailer or trailers drawn by a vehicle 
referred to in clause (a); 

"emergency vehicle" means, 

(a) a road service vehicle operated by or on 
behalf of a road authority, 

(b) a vehicle used by a person employed by or on 
behalf of a police force, or 

(c) a vehicle used by or on behalf of a public 
utility as defined in the Public Utilities Cor- 
porations Act; 

"operator" means an operator as defined in subsection 
lSa(l)oftheAct; 

"recreation vehicle" means a vehicle designed as 
mobile accommodation or as self-propelled mobile 
accommodation and used as transportation without 
compensation for personal or recreational purposes 
and includes but is not limited to a cabin trailer, 
collapsible cabin trailer, tent trailer and camping 
trailer. 

(2) For the purpose of section 90a of the Act, "com- 
mercial motor vehicle" and "operator" have the mean- 
ings set out in subsection (1) O. Reg. 86/89, s. 1. 



PARTI 
TRIP INSPECTIONS 

2. — (1) Every driver of a commercial motor vehicle 
shall inspect or cause to be inspected the commercial 
motor vehicle before the vehicle's first trip of the day. 

(2) If a trip lasts more than one day, the inspection 
required by subsection (1) shall be carried out on the 
second and every subsequent day of the trip no later 
than the first rest stop of the day. 

(3) If a commercial motor vehicle is driven in a day 
by more than one driver, only the first driver to drive 
the vehicle in the day has the obligation set out in sub- 
section (1). 

(4) If an emergency vehicle's first trip of the day is 
to respond to or return from an emergency, the inspec- 



tion required under subsection (1) shall be carried out 
before the emergency vehicle's first trip of the day that 
is not in response to or returning from an emergency. 

(5) If a commercial motor vehicle's first trip of the 
day is to provide relief from an earthquake, flood, fire, 
famine, drought, epidemic, pestilence or other disaster 
by transporting passengers or goods, the inspection 
required under subsection (1) shall be carried out 
before the commercial motor vehicle's first trip of the 
day that is not for that purpose. O. Reg. 86/89, s. 2. 

3. An inspection under section 2 shall include an 
inspection of the items set out in Schedules 1 and 2 as 
set out in those Schedules. O. Reg. 86/89, s. 3. 

4. — (I) Every person who carries out an inspection 
under section 2 shall record on an inspection report, 

(a) the motor vehicle make; 

(b) the number plate or unit number of the 
truck, bus or tractor; 

(c) the number plates or unit numbers of any 
trailers towed by the truck, bus or tractor; 

(d) the date of the inspection; 

(e) the name and signature of the person who 
carries out the inspection; 

(f) a list of the items required to be inspected as 
set out in Schedules 1 and 2; and 

(g) aivy safety defects of the items referred to in 
clause (f) disclosed by the inspection. 

(2) If no safety defects of the items referred to in 
clause (1) (f) are disclosed by the inspection, the person 
who carries out the inspection shall record that fact on 
the inspection report. O. Reg. 86/89, s. 4. 

5. — (1) Every driver of a commercial motor vehicle 
shall, when he or she finishes driving the vehicle for 
the day, record on the inspection report any safety 
defects of the items referred to in clause 4 (1) (f) he or 
she observed while driving or otherwise in charge of 
the vehicle. 

(2) Every driver shall forward the inspection report 
to the operator that is responsible for the commercial 
motor vehicle as soon as possible after the inspection 
report is completed. 

(3) For the purposes of subsection (2) and clause 
1 1 (b), an inspection report is completed, 

(a) if no safety defects of the items referred to in 
clause 4 (1) (f) are disclosed, at the end of the 
day; 

(b) if a safety defect of any item referred to in 
clause 4 (1) (f) is disclosed, after a person 
who undertakes to repair the safety defect 



114 



O. Reg. 86/89 



THE ONTARIO GAZETTE 



901 



completes the entries required under section 
6. O. Reg. 86/89, s. 5. 

6. Every person who undertakes to repjiir a safety 
defect recorded in an inspection report shall record on 
the inspection report the date on which the repair is 
completed or the fact that no repair is required and 
shall sign each entry made by him or her on the report. 
O. Reg. 86/89, s. 6. 



PARTIE 



RECORDS 



I 



7. This Part does not apply to, 

(a) a two or three axle truck, bus or tractor not 
towing a trîdler that is primarily used to 
transport primary products of a farm, forest, 
sea or lake produced by the driver of the 
vehicle or the driver's employer; 

(b) a recreation vehicle; 

(c) a conmiercial motor vehicle that has bee» 
inspected that day in accordance with Regu- 
lation 484 of Revised Regulations of Ontario, 
1980 (School Buses); or 

(d) a bus that is used in the day for passenger 
service in a municipality or within twenty- 
five kilometres of the boundary of that 
municipality. O. Reg. 86/89, s. 7. 

8. A driver is not required to make an inspection 
report respecting a commercial motor vehicle if, 

(a) the driver is instructed to drive the commer- 
cial motor vehicle only within a 160 kilo- 
metre radius of the location at which the 
driver reports for work; 

(b) the driver is instructed to return to the loca- 
tion at which the driver reports for work 
before being released for the day; and 

(c) the operator keeps for a period of three 
months, 

(i) a record of any safety defects dis- 
closed in an inspection under section 
2, and 

(ii) a record of the repairs of the safety 
defects referred to in subclause (i). 
O. Reg. 86/89, s. 8. 



PARTH 



MAINTENANCE AND COMPONENT PERFORMANCE 
STANDARDS 

9. Every operator shall ensure that the conunercial 
motor vehicles for which the operator is responsible 
conform to the mjiintenance and component perfor- 
mance standards set out in Schedules 3, 4 and S. 
O. Reg. 86/89, s. 9. 



10. Every operator shall keep, for each commercial 
motor vehicle for which the operator is responsible, 

(a) identification records, including the commer- 
cial motor vehicle's company number, if any, 
its make, vehicle identification number, year 
and, if the conmiercial motor vehicle is not 
owned by the operator, the name of the per- 
son that supplies the commercial motor vehi- 
cle to the operator; 

(b) a record of the repairs and maintenance of 
the commercial motor vehicle, including the 
nature and date of the repairs and mainte- 
nance and the odometer reading at the time 
they are made; 

(c) a statement of the types and frequency of 
inspections and maintenjince to be carried 
out on the commercial motor vehicle; and 

(d) a record of any axle or suspension modifica- 
tions of the commercial motor vehicle that 
affect the manufacturer's gross vehicle 
weight rating or gross îixie weight rating. 
O. Reg. 86/89, s. 10. 

11. Every operator shall keep at the operator's 
principal place of business in Ontario, 

(a) the records and statements for a commercial 
motor vehicle required under section 10 until 
the earlier of two years after the records and 
statements are made and six months after the 
commercial motor vehicle ceases to be the 
operator's responsibility; and 

(b) the inspection report for each conmiercial 
motor vehicle for which the operator is 
responsible for three months after the report 
is completed. O. Reg. 86/89, s. 11. 

12. This Regulation comes into force on the 1st day 
of April, 1989. 

Schedule 1 

OUTSIDE INSPECTION 

1. All lights and reflectors (equipped and func- 
tioning as required under the Act and the 

regulations). 

2. Wheels and fasteners (for wheel or rim 
cracks, defective lock rings, loose or missing 
fasteners). 

3. Tires (for tread depth, flat or noticeable leak, 
any visible bumps or bulges, mixture of bias 
and radial tires on same axle, contact with 
any part of the vehicle or any other tire). 



lis 



902 



THE ONTARIO GAZETTE 



O. Reg. 86/89 



4. Fuel system (for a visible leak at any point, 
tank, filler caps shall not be missing, fuel 
tank shall be securely mounted). 

5 . Exhaust system (for audible leaks, missing or 
loose components, secure mountings). 

6. Fifth wheel (for loose, missing or ineffective 
fasteners, missing, broken or deformed parts 
in the locking mechanism, operating handle 
being in closed or locked position when in 

use). 

7. Suspension, spring, air bags and controlling 
attachments (for any cracked, broken, loose 
or missing axle positioning or fastening 
parts, broken or missing spring leaves, bro- 
ken coil springs, deflated air suspension due 
to system failure). 

8. Towing and coupling devices as required 
under the Act and the regulations (for miss- 
ing or unattached safety devices, or safety 
devices not capable of secure attachment, 
wear kinks or broken cable strands, 
improper repairs). 

9. Load security (for compliance with the 
requirements of Ontario Regulation 428/81). 

10. Load covering (for compliance with the 
requirements of Regulation 455 of Revised 
Regulations of Ontario, 1980). 

11. Air brake adjustment and connections (for 
absence of braking action on each wheel, 
missing, broken or loose mechanical compo- 
nents where readily visible, audible air leaks 
and brake readjustment limits). 

12. Hydraulic brake fluid (for visible leakage). 

13. Mirrors as required under the Act and the 
regulations (for condition and adjustments). 

O. Reg. 86/89, Sched. 1. 



Schedule 2 
INSIDE INSPECTION 

1. Steering wheel, excessive play, looseness. 

2. Brake pedal reserve and fade. 

3. Brake booster operation. 

4. Brake failure warning light functions as 
intended. 

5 . Brake air pressure or vacuum gauge. 

6. Warning signal, low pressure or low vac- 
uum. 



7. Windshield washer and wipers function as 
intended. 

8. Windshield and windows are to afford the 
driver a clear view. 

9. Mirrors, adjustment and condition. 

10. Defroster and heaters function as intended. 

1 1 . Horn functions as intended. 

12. Driver's seat belt and seat security function 
as intended. 

13. Parking brake adequate to hold vehicle. 

14. Emergency equipment as required under any 
Act and the regulations made thereunder for 
that class of vehicle. 

O. Reg. 86/89, Sched. 2. 
Schedule 3 

vehicle maintenance and component 
performance standards 

General 

Body, Sheet Metal and Equipment 

1. No bumper, fender or mudguard shall have 
been removed. 

2 . Each bumper shall be securely mounted. 

3. Each mud flap, where applicable, shall be in 
position. 

4. No bumper, fender, molding or other part 
shall have a broken, bent or sharp edge that 
protrudes in such a way as to constitute a 
hazard to persons or vehicles. 

5 . No hood latch shall be missing or fail to hold 
the hood closed and no safety catch, in the 
case of a front opening hood, shall be missing 
or inoperative. 

6. No tilt cab latch shall be missing or fail to 
hold the tilt cab latched and no safety catch 
shall be missing or inoperative. 

7. In the case of a bus or physically-disabled- 
passenger vehicle, the floor and stepwell cov- 
ering shall not be so cracked, curled, loose or 
worn as to present a tripping hazard. 

8. In the case of a bus or physically-disabled- 
passenger vehicle, each stanchion, grab han- 
dle, guard rail and guard panel shall be 
securely mounted and no fastening part shall 
be missing. 



116 



O. Reg. 86/89 



THE ONTARIO GAZETTE 



903 



9. Where originally installed by the manufac- 
turer, no energy-absorbing material shall be 
missing from stanchions and guard rails or 
from the tops or sides of seat backs. 

10. Every occupant seat shall be securely 
mounted and shall maintain its position and 
adjustment. 

11. Where required under the provisions of the 
Commercial Motor Vehicle Safety Act 
(Canada), no seat belt assembly or its 
anchorage shall have been removed, ren- 
dered partly or wholly inoperative or modi- 
fied so as to reduce its effectiveness. 

12. If fitted with a seat belt assembly or assem- 
blies, each belt anchorage shall be secure, 
each buckle and retractor shall operate as 
intended and no belt webbing shall be visibly 
damaged so as to reduce its effectiveness. 

13 . If fitted, a driver's sun visor shall function as 
intended. 

14. In the case of a bus, other than a bus used for 
the purpose of transporting prisoners or 
other persons held in custody, an emergeny 
exit, 

i. if a door, shall have a clear passage- 
way thereto and be located at the rear 
of the vehicle or near the rear of the 
left side of the vehicle and the release 
mechanism when actuated shall func- 
tion from inside the vehicle, as well as 
from outside the vehicle where fitted 
with outside release, and the door 
shall open freely and close securely, 
and the emergeny door audible or vis- 
ible warning device, if originally fit- 
ted, shall function properly, 

ii. if a hinged pushout window, shall be 
visually inspected to ensure that it 
should open outwards when the 
release mechanism is actuated and 
adequate directions for the emergency 
use thereof shall be displayed on or 
adjacent to the pushout window, and 
the emergency warning device, if 
originally fitted, shall function prop- 
erly, 

iii. if a roof hatch, shall open outwards 
when the release mechanism is actu- 
ated and a reasonable amount of 
manual force is applied, and adequate 
directions for the emergency use 
thereof shall be displayed on or adja- 
cent to the roof hatch. 

15. Each overhead package shelf, if fitted, shall 
be securely mounted and not have any bro- 



ken, missing, excessively worn or excessively 
stretched package retaining components. 

16. A physically-disabled-passenger vehicle used 
for the transportation of physically disabled 
persons in wheelchairs shall be fitted with 
wheelchair securement devices, each device 
anchorage shall be secure, each component 
part shall operate as intended, and no com- 
ponent part shall have damage apparent on 
visual inspection that would reduce its effec- 
tiveness. 

17. In the case of a physically-disabled-passen- 
ger vehicle used for the transportation of 
physically disabled persons in wheelchairs or 
seats, 

i. each sitting position shall be equipped 
with a pelvic type occupant restraint 
assembly, each component part 
thereof shall operate as intended, and 
no compoment part shall have dam- 
age apparent on visual inspection that 
would reduce its effectiveness, 

ii. if fitted with occupant restraint 
assemblies anchored to the vehicle, 
each restraint assembly anchorage 
shall be secure, 

iii. aU devices used to secure passenger 
access or emergency exit doors in the 
open position shall operate as 
intended and shall have no damage 
apparent on visual inspection that 
would reduce their effectiveness, 

iv. an emergency exit door shall have no 
fixed obstructions blocking the pas- 
sage of persons or, in the case of a 
vehicle used for the transportation of 
persons in wheelchairs, blocking the 
passage of wheelchairs, and the door 
release mechanism shall function 
from inside and outside the vehicle, 

V. if fitted with a ramp or power lift, the 
means of attachment of the ramp or 
power lift to the vehicle shall be 
secure with no fastening parts missing 
and, when the ramp or power lift is in 
the stored position, it shall be 
secured, by means other than a sup- 
port or lug in the door, in such a man- 
ner as to pose no potential hazard to 
occupants of the vehicle, 

vi. if fitted with a power lift, the lift plat- 
form shall rise and descend smoothly 
when actuated by the appropriate 
controls, and 

vii. no plate, cover or energy-absorbing 
material required to protect persons 



117 



904 



THE ONTARIO GAZETTE 



O. Reg. 86/89 



from sharp edges or corners shall be 
missing or worn or damaged so as to 
reduce its effectiveness. 



Occupant Compartment Door 

18. Each occupant compartment door shall open 
freely when its release mechanism is actuated 
and shall close securely and the flexible 
material on vertical closing edges, where 
originally fitted, shall not be missing or 
excessively loose or torn. 

19. In the case of a motor vehicle having a sepa- 
rate exit door other than a door to be used 
only in an emergency, 

i. when the door control is in the closed 
position and the exit door is fully 
closed, the door shall not open where 
a moderate amount of manual force is 
applied in an attempt to open it and 
the audible or visual warning device, 
if fitted, shall function properly, 

ii. when the door control is in the posi- 
tion to open the exit door, the brake 
and accelerator interlock systems, if 
fitted, shall automatically apply the 
rear brakes and hold them in the 
applied position and the engine speed 
will be prevented from exceeding idle 
speed until the door control is moved 
to the closed position and the door has 
closed, and 

iii. when the exit door is fitted with sensi- 
tive edges and the door is not fully 
closed, manual pressure applied to 
each sensitive edge shall cause the 
door to reopen and the audible or 
visual warning device, if fitted, shall 
function properly, the brake and 
accelerator interlock systems, if fitted, 
shall automatically apply the rear 
brakes and hold them in the applied 
position and the engine speed will be 
prevented from exceeding idle speed 
until the door control is moved to the 
closed position and the door has 
closed. 



Exterior Compartment Door 

20. Each door shall be securely attached to the 
body. 

2 1 . Each door shall function properly. 

22. Each door shall be equipped with a lock, 
latch or spring device that shall hold it 
closed. 



Chassis Frame, Underbody and Body 
Mounts 

23. No chassis frame member or structural mem- 
ber of a unitized or monocoque body shall be 
visibly cracked or perforated by corrosion or 
have loose or missing connecting fasteners 
that may degrade the safety of the vehicle or 
jeopardize its handling characteristics. 

24. The underbody, excluding the underbody of 
a separate cargo body, shall not be visibly 
perforated by rust or otherwise damaged, or 
have any opening other than those intended 
by the manufacturer. 

Drive Shaft Hanger Brackets and Guards 

25. No fasteners shall be missing, loose or dam- 
aged. 

26. No drive shaft guard or hanger bracket shall 
be insecure or missing. 

Mirror 

27. No mirror required under the Act and the 
regulations shall be missing. 

28. Each mirror shall be securely mounted and 
maintain a set adjustment. 

29. No mirror shall be cracked, broken or have 
any significant reduction in reflecting surface 
owing to deterioration of the silvering. 



30. In the case of a motor vehicle where there is 
no rear window, or the view through the rear 
window is restricted in such way as not to 
afford a driver a clear view to the rear of the 
vehicle, the outside rear view mirror or mir-j 
rors shall not be missing. 



i\ 



Windshield and Windows 



I 



31. Where glass is used, there shall be no evi- 
dence of it being other than safety glass. 

32 . Any manufacturer's marking, 

i. on the windshield shall be ASl or 

ASIO, 

ii. on the side and rear windows at levels 
requisite for driving visibility, shall 
be ASl, AS2, AS4, AS6, ASlO or 
ASll, and 

iii. on windows for standing passengers, 
in interior partiUons or in openings in 
the roof, shall be ASl, AS2, AS3, 
AS4, AS5, AS6, AS7, ASlO, ASll, 
ASl2orASl3. 



118 



O. Reg. 86/89 



THE ONTARIO GAZETTE 



905 



33. No material that obstructs the driver's view 
of the highway or of an intersecting highway 
shall be fitted in the windshield opening or in 
a side window opening to the left or right of 
the driver's seat. 

34. No material other than safety ^ass shall be 
used for a windshield. 

35. No safety glass in the windshield or in any 
side window to the left or right of the driver's 
seat shall be crazed, clouded or fogged, so as 
to materially impair vision. 

36. No safety glass shall have exposed sharp 
edges or be missing in part. 

37. Banding or exposed edges of safety glass, if 
originally fitted, shall not be missing, loose 
or broken. 

38. There shall be no star, stone chip or crack in 
the area of the windshield swept by the driv- 
er's wiper blade, that may interfere with the 
driver's vision. 

39. Any window to the left of the driver's seat 
that is suitable for the purpose of permitting 
a signal by means of the hand or arm shall 
open readily. 

Fuel System 

40. No mounting or attachment shall be missing 
or insecure. 

41. No filler cap shaU be missing or insecure. 

42. No leakage shall be present at any point in a 
fuel system. 

43. All pressurized fuel systems shall meet Cana- 
dian Gas Association (C.G.A.) Standards. 

Exhaust System (Including Exhaust 
Manifolds) 

44. No exhaust pipe, muffler or tail pipe shall be 
missing or insecurely mounted. 

45. No leakage shall occur at any point in the 
exhaust system, except through drain holes 
provided by the manufacturer. 

46. No component thereof shall be so located as 
to cause charring or other heat damage to 
any wiring, fuel line, brake line or combusti- 
ble material of the vehicle. 

47. No component thereof shall pass through the 
occupant compartment. 

48. No component thereof shall be so located or 
unguarded that an individual may be burned 
thereby on entering or leaving the vehicle. 



49. No exhaust system shall be shortened or 
modified from original equipment so as to 
fail to direct the exhaust beyond the under- 
body of the occupant compartment or lug- 
gage compartment, and in no case shall the 
distance between the outlet and periphery of 
the underbody past which it directs the 
exhaust exceed fifteen centinaetres. 

Fifth Wheel Device 

50. The fifth wheel shall be fastened securely to 
the vehicle. 

51. In the case of a fifth wheel secured to the 
vehicle frame by means of U-bolts, positive 
stops shall be provided to prevent it from 
shifting on the frame. 

52. The jaw closure mechanism and locking sys- 
tem shall be in good working order and shall 
not be broken, cracked or excessively worn. 

53. The slider mechanism, if fitted, shall lock 
securely and shall not show any signs of fail- 
ure or excessive wear. 

Trailer Hitch, Hitch Mounting and 
Connecting Etevices for Safety Cables and 
Chains 

54. No trailer hitch or towing structure to which 
a trailer hitch is attached shall be insecurely 
mounted. 

55. No latch mechanism shall fail to close 
securely. 

56. No part shall be missing, cracked, broken, 
excessively bent, seized or excessively worn. 

57. No cast or forged hitch shall show any indi- 
cation that repairs have been made by means 
of brazing or welding. 

58. No connecting devices provided at the rear 
of a vehicle for the attachment of a safety 
chain or cable shall be insecurely fastened, 
missing, cracked, broken or excessively 
worn. 

Brakes 

Hydraulic, Vacuum and Air System 
Components (Including Reservoirs, 
Fittings, Valves, Supports, Hose Clamps, 
Connections, Air Chambers, Air Cleaners, 
Hoses and Tubes) 

1. While the vacuum, hydraulic or air boost 
systems are fully charged, there shall be no 
hydraulic or vacuum leak in the service 
brake system while the service brakes are 
fully applied or released. 



119 



906 



THE ONTARIO GAZETTE 



O. Reg. 86/89 



No hydraulic, air or vacuum hose or tube 
shall be abraded, restricted, crimped, 
cracked, broken, disconnected or be so 
located as to chafe against any part of the 
vehicle or have damaged or missing clamps 
or supports. 

The brake tubing shall not show any indica- 
tion of leakage or heavy corrosion scaling. 

The hydraulic fluid level in any reservoir 
shall not be below the minimum level as 
specified by the manufacturer or, where no 
specification is made by the manufacturer, 
no more than ten millimetres below the low- 
est edge of each filler opening. 

The air cleaner of the vacuum system or air 
compressor shall not be clogged. 



Mechanical Components 

6. Mechanical components of the service, park- 
ing and emergency brake systems shall not 
be misaligned, insecure, excessively worn, 
broken, binding, seized, missing, frayed or 
disconnected. 



Hydraulic System and Related Warning 
Devices 

7. A hydraulic master cylinder push rod shall 
be properly adjusted. 

8. In the case of a vehicle equipped with dual 
circuit hydrualic brakes, the brake failure 
warning lamp shall be operative. 

9. With moderate foot force maintained on the 
service brake pedal for ten seconds and, in 
the case of power-boosted brakes, with the 
engine running, the service brake pedal shall 
not move towards the applied position. 

10. With heavy foot force applied to the service 
brake pedal and, in the case of power- 
boosted brakes, with the engine running, 

i. the total pedal travel shall not exceed 
80 per cent of the total available 
travel, and 

ii. on a vehicle equipped with dual cir- 
cuit hydraulic braJies, the brake fail- 
ure warmng lamp shall not come on. 

11. Despite paragraph 10, where a commercial 
motor vehicle is equipped with a HYDRA 
BOOST braking system, the foot force 
applied to the pedal shall not exceed sixty 
pounds. 



Power-Boosted Hydraulic Brakes 

12. In the case of a vehicle equipped with power- 
boosted hydraulic brakes, after the engine 
has been stopped and the vacuum, air or 
hydraulic boost has been depleted, holding 
moderate pressure on the service brake pedal 
and starting the engine shall result in the 
pedal moving towards the applied position. 

13. In the case of a vehicle equipped with 
hydraulically-boosted hydraulic brakes and 
electrically-driven hydraulic pump for the 
reserve power system, after the engine has 
been stopped and the hydraulic boost has 
been depleted, holding moderate pressure on 
the service brake pedal while moving the 
ignition switch to the "ON" position shall 
cause the pump to start and run and the 
brake pedal to move towards the applied 
position. 

Air-Boosted Hydraulic Brakes or Full Air 
Brakes 

14. The compressor drive belt, if fitted, shall 
have correct tension and shall not be cut, 
frayed or excessively worn. 

15 . The air pressure gauge shall be operative. 



16. With the engine running at a fast idle, the 
time required to build air pressure from fifty 
to ninety pounds per square inch gauge pres- 
sure shall not exceed two minutes. 

17. With the air system fully charged and the 
engine running, each air reservoir drain 
valve shall be actuated and shall function 
properly. 

18. The governor cut-in and cut-out pressures 
shall not be lower or higher than those speci- 
fied by the vehicle manufacturer or, if not 
specified by the vehicle manufacturer, eighty 
pounds per square inch gauge measure and 
135 pounds per square inch gauge measure 
respectively. 

19. With the air brake system fully charged and 
immediately after the engine is stopp)ed, the 
compressed air reserve shall be sufficient to 
permit one full service brake application 
from fully charged system pressure without 
lowering reservoir pressure more than 20 per 
cent. 

20. With the air brake system fully charged and 
engine stopped, air pressure drop shall not 
exceed, 

i. with the service brakes released, two 
jjounds per square inch in one 
minute, and 



II 



120 



O. Reg. 86/89 



THE ONTARIO GAZETTE 



907 



I 



21. 



ii. with the service brakes fully applied, 
three pounds per square inch in one 
minute. 

The low pressure warning device shall oper- 
ate when system pressure is reduced to fifty- 
five pounds per square inch. 



Vacuum Gauge and Low Warning Device 

22. The vacuiun gauge shall be operative. 

23. With engine stopped, the warning device 
shall operate before the vacuum reserve 
drops to less than eight inches of mercury or, 
if no gauge b fitted, there shall be at least 
one boosted brake application available after 
the warning device operates. 

Parking Brake 

24. The brake, while set in the fully applied 
position and not held by foot or hand force or 
by hydraulic or air pressure, shall hold the 
vehicle stationary against the engine at a 
light throttle setting for a few seconds both in 
reverse gear and in low forward gear. 

25 . The brake shall fully release when the release 
control is operated. 

Emergency Brake System 

26. The brakes, while set in the fully applied 
position, with the transmission in a low for- 
ward gear, shall hold the vehicle stationary 
against the engine at a light throttle setting 
for a few seconds. 

27. There shall be reserve travel available be- 
yond the full brake application position. 

28. The brakes shall fully release when the 
release control is operated. 

Service Brakes 

29. The service brakes shall be property 
adjusted. 

Engine Controls and Steering 
Engine Controls 

1. The engine speed shall drop to idle when the 
accelerator pedal is released. 

2. Where the engine is equipped with an emer- 
gency stopping device, the engine shall stop 
when the control is actuated while the engine 
b idling. 

3. In the case of a troUey bus, with the reverser 
in the neutral position. 



i. the system shall function as intended, 
and 

ii. the controller shall turn off positively 
when the power pedal b released. 



Power-Boosted Steering 



4. The power steering drive belt shall not be 
missing, cut, frayed or excessively worn and 
shall have correct tension. 

5. The fluid in the power steering reservoir 
shall not be lower than the minimum level 
specified by the vehicle manufacturer. 

6. With the engine running, 

i. the power steering system shall oper- 
ate as intended, and 

ii. The hydraulic system shall not show 
excessive fluid leakage. 

Steering Column and Box 

7. The steering column and box or boxes shall 
not be loose in their mountings to the body 
and frame. 

8. No bolt or nut shall be loose or missing from 
a mounting. 

9. Steering shaft couplings and splines shall not 
have excessive play. 

10. Upon vbual inspection, the steering column 
energy-absorbing section, if fitted, shall not 
appear damaged so as to reduce its effective- 
ness. 

Wheel Alignment 

11. While aU wheek are on the ground and front 
wheeb are in the straight-ahead position, 
they shall not be vbibly out of alignment. 

Steering Linkage 

12. While the front wheeb are on the ground in 
the straight-ahead position and, in the case 
of a vehicle equipped with power-boosted 
steering, with the engine running, free move- 
ment of the steering rim, with no movement 
of the front wheeb, shall not exceed, 

i. the limit designated by the vehicle 
manufacturer, or 

ii. in the case where the limit b not des- 
ignated, 30°. 

13. There shall be no excessive play in a steering 
linkage joint. 



121 



908 



THE ONTARIO GAZETTE 



O. Reg. 86/89 



14. While the front wheels are on the ground 
and, in the case of a vehicle equipped with 
power-boosted steering, with the engine run- 
ning, the front wheels shall turn from full 
right to full left and back again without 
interference or indication of roughness in the 
mechanism. 

15. While the front wheels are off the ground 
and the vehicle is supported so that the steer- 
ing linkage assumes its normal attitude with- 
out movement of the opposite wheel, no 
front wheel shall have play about a vertical 
axis of, 

i. six millimetres for a tire diameter des- 
ignation of sixteen millimetres or less, 

ii. nine millimetres for a tire diameter 
designation that is larger than sixteen 
millimetres but no larger than eight- 
een millimetres, or 

iii. twelve millimetres for a tire diameter 
designation that is larger than eight- 
een millimetres, 

as measured at the extreme front or rear of 
the tire tread face. 

16. No part of the steering linkage system shall 
be damaged, repaired or modified so as to 
weaken the linkage system or affect the 
proper steering of the vehicle. 

17. No nut, bolt or cotter pin shall be loose, 
excessively worn or missing. 



Suspension 



General 



1. While the wheels of the vehicle are off the 
ground so that the suspension joints are not 
under load, 

i. no non-load carrying ball joint shall 
show any perceptible play other than 
that specified by the vehicle manufac- 
turer, 

ii. no load-carrying ball joint shall have 
play in excess of that specified by the 
vehicle manufacturer, 

iii. in the case of king pins, no front 
wheel shall have a rocking play about 
a horizontal axis in excess of, 

A. six millimetres for a tire diam- 
eter designation of sixteen mil- 
limetres or less, 

B. nine millimetres for a tire 
diameter designation that is 



larger than sixteen millimetres 
but no larger than eighteen 
millimetres, or 

C. twelve millimetres for a tire 
diameter designation that is 
larger than eighteen millime- 
tres, 

as measured at the extreme top or bot- 
tom of the tire tread face, 

iv. no control arm inner pivot shall have 
excessive play, 

V. no wheel or axle bearing shall give 
any indication of excessive wear or 
damage when the bearing is rotated, 

vi. no wheel or axle bearing shall be 
maladjusted so as to result in excess 
play or binding, 

vii. wear-indicated ball joints while under 
load with the wheels on the ground 
shall show no excessive wear, 

nil. front and rear springs, shackles, U- 
bolts, centrebolts, radius rods, control 
arms, shock-absorbers, equalizers, 
stabilizers, their supports and attach- 
ments thereto shall not be loose, bent, 
cracked, broken, disconnected, perfo- 
rated by corrosion or missing, and 

ix. the rear axle or axles and their wheels 
shall not be tracking improperly so as 
to adversely affect control of the 
vehicle. 



Air Suspension System 



1 



In the case of a vehicle equipped with full air 
brakes, when the engine is started with zero 
gauge air brake system, air shall not begin to 
flow into the suspension system before fifty- 
five pounds per square inch gauge is reached 
in the brake system. 

With air in the suspension system at normal 
operating pressure and the pusher or tag 
axle, if fitted, tested in both load and 
reduced load sharing modes, no air leakage 
shall occur. 

With air in the suspension system at normal 
operating pressure, the pusher or tag axle, if 
fitted, shall respond properly to its load shar- 
ing control switch or valve. 

With air in the suspension system at normal 
operating pressure, the vehicle body and 
chassis frame shall be supported clear of all 
axles and shall appear to be level. 



122 



O. Reg. 86/89 



THE ONTARIO GAZETTE 



909 



6. No suspension joints of a variable load shar- 
ing axle with independent suspension shall 
be worn beyond the manufacturer's specified 
safe limits. 

Electrical Components 
Horn 

1 . The horn shall not be loose on its mountings. 

2 . The horn shall function properly. 

Windshield Washers and Wiper Systems 

3. The windshield washer system shall function 
properly. 

4. E^h wiper arm and blade assembly shall 
sweep the area intended by the vehicle man- 
ufacturer. 

5. No part of the windshield wiper s\'Stem shall 
be missing, badly worn or deteriorated so as 
to impair its effectiveness. 

Heating and Defrosting System 

6. The heating system shall function as 
intended. 

7. The visible portions of the hoses and piping 
for the interior heaters routed within the 
occupant compartment shall not be abraded, 
cracked or leaking. 

8. The defrosting system shall deliver heated 
air to the windshield and, where fitted, to 
the side windows to the left and right of the 
driver's seat. 

Neutral Safety Starting Switch 

9. The neutral safety starting switch shall not 
have been removed. 

10. The starter shall operate only with the gear 
selector or transmission in "P" (park) or "N" 
(neutral). 

Speedometer 

11. The speedometer shall be in good working 
order. 

Lamps and Reflectors 

12. Each circuit shall light the filaments of all 
lamps on that circuit when the appropriate 
switch is in the "ON" position and each indi- 
cator lamp shall indicate correctly. 

13. The operation of any lighting circuit shall not 
interfere with the operation of any other 
circuit. 



14. Each lens and reflex reflector shall be cor- 
rectly installed and shall not be discoloured 
or missing in whole or in part. 

15. Each lamp and reflector shall be securely 
mounted on the vehicle and none shall be 
missing. 

16. The turn signal lamps and flasher unit shall 
operate properly. 

17. In the case of a bus or physically-disabled- 
passenger vehicle, all interior lamps, includ- 
ing stepwell lamps, shall light when the 
appropriate switch is in the "ON" position. 

18. In the case of a physically-disabled-passen- 
ger vehicle, the lights provided to illuminate 
the loading equipment and step nosings shall 
light when the appropriate switch is in the 
"ON" position or when the doors are opened. 

19. No headlamp shall be coated with a coloured 
lacquer. 

20. No headlamp shall be modified by the 
attachment to the lamp or to the vehicle of 
any device that reduces the effective area of 
the lens or brightness of the light 

21. E^h headlamp shutter or retracting head- 
lamp shall operate over the full range of 
movement or shall be secured in the fully 
open position. 

22 . All headlamps shall be properly aligned. 



Tires and Wheels 



Definitions 



Under the heading. Tires and Wheels, "con- 
struction type" means a type of tire carcass 
such as bias ply, belted-bias and radial ply 
and does not include such variations in tread 
pattern or cord material such as rayon, poly- 
ester and nylon used in building a tire car- 
cass. 



Tires 



2. All tire pressures shall be maintained to man- 
ufacturer's specifications. 

3. Except for fiwnt tires, no tire shall be worn 
sufficiently, 

i. for tread wear indicators to contact 
the road, or 

ii. for less than 1.5 millimetres of tread 
depth to remain. 



123 



910 



THE ONTARIO GAZETTE 



O. Reg. 86/89 



in any two adjacent major grooves at three 
equally spaced intervals around the circum- 
ference of the tire, and 

iii. despite subparagraph ii, except for 
dual tires on an urban transit bus, no 
commercial motor vehicle shall be 
equipped with tires that show indica- 
tion of siping only and, in the case of 
an urban transit bus, the siping shall 
not be less than 1.5 millimetres in 
depth. 

4. In the case of front tires, none shall be worn 
sufficiently that less than three millimetres of 
tread depth remains in any two adjacent 
major grooves at three equally spaced inter- 
vals around the circumference of the tire, nor 
shall any front tire show evidence of siping 
only. 

5 . No tire shall have exposed cord. 

6. No tire shall have tread or sidewall cuts or 
snags deep enough to expose the cords. 

7. No tire shall have any abnormal visible 
bump, bulge or knot. 

8. No tire shall have been regrooved or reçut 
below the original new tire groove depth, 
other than tires specially designed for such 
recutting and marked as being tires so 
designed. 

9. Except in the case of a trolley bus, no front 
tire on a bus shall have been altered by the 
addition of material to produce a new tread 
surface. 

10. No tire shall be of a smaller size than the 
vehicle manufacturer's specified minimum 
size or be sufficiently oversized as to contact 
any vehicle component which may affect the 
safe operation of the vehicle. 

11. Except for a vehicle fitted with dual rear 
tires, no mixture of construction types con- 
sisting of radial ply on the front and bias ply 
or belted-bias tires on the rear shall be fitted. 

12. No mixture consisting of sixty or fifty series 
tires on the front and other series tires on the 
rear shall be fitted. 

13. No combination of construction types of tires 
or sizes, except where stated to be equivalent 
by tire industry standards, shall be fitted on 
an axle. 

14. Tires in a dual set shall not be in contact 
with each other or differ from each other in 
overall diameter by more than thirteen milli- 
metres or in circumstances by more than 
thirty-eight millimetres. 



15. No vehicle shall be fitted with a tire that, 

i. bears the wording "not for highway 
use", "farm use only", "competition 
circuit use only" or any other wording 
or lettering indicating that the tire 
was not designed for highway use, or 

ii. bears the letters "SL", "NHS" or 
"TG" after the tire designation. 



Wheels 



16. No wheel stud, bolt, clamp, nut or lug shall 
be loose, missing, damaged, broken, mis- 
matched or have insufficient tread engage- 
ment. 

17. No disc wheel assembly shall have any visi- 
ble crack, elongated bolt hole, indication of 
repair by welding, or be so bent or damaged 
as to affect the safe operation of the vehicle. 

18. No wheel rim or lock rim shall be mis- 
matched, bent, sprung or otherwise dam- 
aged so as to affect the safe operation of the 
vehicle. 

19. No cast wheel shall show evidence of exces- 
sive wear in the clamp area. 

20. No wheel spoke shall be missing, loose or 
broken. 

Number Plates 

1. No number plate shall be missing, damaged, 
faded, discoloured or have paint removed so 
as to impair readability. 

O. Reg. 86/89, Sched. 3. 



Schedule 4 

PERFORMANCE STANDARDS FOR WHEEL 
BRAKE INTERNAL COMPONENTS 

Brake Drums and Disc Brake Pads 

1. No drum or disc shall have any external 
crack on the friction surface other than nor- 
mal heat-check cracks that reach the edge of 
the drum bore or periphery of the disc. 

2. No drum or disc shall have any mechanical 
damage to the friction surface other than that 
which may be attributed to normal wear. 

3. No ventilated disc shall have broken or visi- 
bly cracked cooling fins. 

4. No inside diameter of a drum shall be greater 
than the dimension stamped on the drum or, 



124 



O. Reg. 86/89 



THE ONTARIO GAZETTE 



911 



where the dimension is not stamped on the 
drum, the vehicle manufacturer's wear limit. 

5. No thickness of the disc shall be less than the 
dimension stamped on the disc or, where the 
dimension b not stamped on the disc, the 
vehicle manufacturer's wear limit. 

6. No bonded lining shall be thimier than l.S 
millimetres when measured at the thinnest 
point. 

7. The surface of a riveted lining shall not be 
closer to the rivet head than the dimension 
specified by the vehicle manufacturer and in 
no case shall the measurement be less than 
0.8 millimetres. 

8. Bolted linings shall not be thinner than ei^t 
millimetres when measured at the centre of 
the shoe. 

9. No brake lining shall be broken loose on its 
shoe or pad. 

10. No brake lining shall show evidence of con- 
tamination such as to affect braking perfor- 
mance. 

11. No hydraulic brake cylinder shall show evi- 
dence of leakage. 

12. No mechanical or structural part shall bind, 
be misaligned, badly worn, cracked, broken, 
seized, disconnected or insecure and no 
grease retainer shall be missing or leaking. 

13. If fitted, no automatic adjuster shall be inop- 
erative. 

14. No hydraulic brake piston shall fail to move 
when moderate pressure is applied to the 
brake pedal. 

15. All brakes shall be adjusted for minimum 
lining-to-drum clearance without brake 
drag. 

O. Reg. 86/89, Sched. 4. 



Schedules 

PERFORMANCE STANDARDS FOR SCHOOL 
PURPOSES VEfflCLES 



Body Work 



The floor and stepwell covering shall not be 
cracked, curled, loose or worn as to present a 
tripping hazard. 



3. An emergency exit, 

i. if a door, shall have a clear passage- 
way thereto and be located at the rear 
of the vehicle or near the rear on the 
left side of the vehicle, and the release 
mechanism when actuated shall func- 
tion fix>m both inside and outside the 
vehicle, and the door shall open freely 
and close securely, and the emergency 
door audible or visible warning 
devices, if originally fitted, shall func- 
tion property, 

ii. if a hinged pushout window, shall be 
visually inspected to ensure that it 
should open outwards when the 
release mechanism is actuated, and 
adequate directions for the emergency 
use thereof shall be displayed on or 
adjacent to the pushout window, and 
the emergency warning device, if 
originally fitted, shall function prop- 
erly, 

iii. if a non-hinged pushout window, 
shall have adequate directions for the 
emergency use thereof displayed on or 
adjacent to the pushout window. 

4. The outlet of the tailpipe shall be beyond the 
extremities of the floor pan. 



Electrical Components 

5. All interior lamps, including stepwell lamps, 
shall light when the appropriate switch is in 
the "ON" position. 



Special Identity Markings and Lighting 

6. The special identity markings and lighting 
shall comply as required under the Act and 
the regulations. 

7 . The alternating signal lamps on the front and 
rear thereof shall produce the intensity of 
light required under the Act and the regula- 
tions in an alternating fashion with the 
engine running at normal idle speed when 
the alternating signal lights are switched to 
the "ON" position and all other lights and 
electrical equipment are operating. 

8. Where a school bus is equipped with stop 
arm, the stop arm shall operate as required 
under the Act and the regulations. 



E^h stanchion, grab handle, guard rail and 
panel shall be securely mounted and fastened \ 
and none shall be missing. [ 9/89 

125 



O. Reg. 86/89, Sched. S. 



THE ONTARIO GAZETTE 913 

INDEX 9 



GOVERNMENT NOTICES 



Appointments 903 

Ontario Highway Transport Board 809 

Motor Vehicle Transport Act, 1987 812 

Certificates of Incorporation 836 

Certificates of Incorporation Issued 858 

Letters Patent of Incorporation Issued 859 

Certificates of Amalgamation 860 

Corrected Certificate of Amalgamation 860 

Transfer of Ontario Corporations 860 

Amendments to Articles 861 

Corrected Certificate of Amendments to Articles 866 

Articles of Revival 866 

Certificates of Amendment of Articles Issued 866 

Supplementary Letters Patent Issued 867 

Orders Reviving Corporate Powers 867 

Extra-Provincial Licence Endorsed , 867 

Certificates of Dissolution 867 

Certificates of Dissolution Issued 868 

Decisions on Applications for Audit Exemption 868 

Notice of Default in Complying with the Corporations Tax Act 869 

Change of Name Act 873 

Insurance Act 877 

Applications to Provincial Parliament — ^Private Bills 879 

Petitions to Provincial Parliament 879 

Applications to Provincial Parliament 880 

CORPORATION NOTICES 881 

DISSOLUTION OF PARTNERSHIP 883 

MISCELLANEOUS NOTICES 883 

SALES OF LANDS FOR TAX ARREARS BY PUBLIC TENDER 884 

PUBLICATIONS UNDER THE REGULATIONS ACT 

Development Corporations Act O. Reg. 82/89 897 

Environmental Assessment Act O. Reg. 85/89 899 

Farm Products Marketing Act O. Reg. 79/89 894 

Farm Products Marketing Act O. Reg. 80/89 895 

Farm Products Marketing Act O. Reg. 81/89 896 

Game and Fish Act O. Reg. 76/89 889 

Health Insurance Act O. Reg. 78/89 894 

Highway Traffic Act O. Reg. 86/89 899 

Land Registration Reform Act, 1984 O. Reg. 77/89 894 

PubUc Hospitals Act O. Reg. 83/89 897 

Planning Act, 1983 O. Reg. 84/89 898 



914 THE ONTARIO GAZETTE 

•m 




REGULATION MADE UNDER 
THE OFFICIAL NOTICES PUBLICATION ACT 

The Ontario Gazette is published each Saturday and advertisements must be received before 
Thursday 4 p.m. 9 days before publication date to ensure inclusion in the next issue. 

Advertisements should be typewritten or printed legibly, separate from covering letter. Number of 
insertions required must be stated and the names of any signing officers typewritten or printed. 

Advertising Rate: $11.45 per-single column 25 mm. 



The Bp.tés payable for copies of The Ontario Gazette are, 

by subscribers for a subscription of 52 weekly issues, $69.00 and 
by others for a single copy, $1.50 Payable in advance. 

,, •{ "ys--..i ' *i? Rates subject to change without notice. 



The above subscription rate includes book rate mailing. 
For 1st class mail service please add $52.00. 



Cheques should be inade payable to THE TREASURER OF ONTARIO and 
forwarded to THE ONTARIO GAZETTE. 

All correspondence should be addressed: 

The Ontario Gazette 

5th Floor, 880 Bay Street, Toronto, Ontario M7A 1N8 
Telephone 965-2238 

Please notify the Gazette Office of any address changes. 



O. Reg. 87/89 



THE ONTARIO GAZETTE 



981 



Publications Under The Regulations Act 



March 11th, 1989 



ENVIRONMENTAL ASSESSMENT ACT 

O. Reg. 87/89. 

Exemption — ^Ministn- of Natural 

Resources— MXR-30/9 . 
Made— October 26th, 1988. 
Approved — October 26th, 1988. 
Filed— Februar>^ 20th, 1989. 



ORDER ^L\DE UNDER THE 
ENVIRONTVIENTAL ASSESSMENT ACT 

EXEMPTION— MINTSTRY OF NATURAL 
RESOURCES— MNR-30/9 

Having received a request from the Minister of 
Natural Resources that an undertaking namely: 

The carrying out of the Provincial Parks Program 
including, 

(a) Implementing: 

1 . Park Management Plans, 

2. Resource Management Strategies, 

3. Operations Strategies and Mainte- 
nance Schedules, 

4. Development Strategies, 

5. Site Plans, 

6. Visitor Service and Interpretive Pro- 
grams, 

7. Capital Construction and Lease Pur- 
chase Projects, 

in Provincial Parks; 

(b) Developing sewage or water works within or 
for Provincial Parks; 

(c) Acquiring land to amend the boundaries of 
existing Provincial Parks, to complete land 
acquisition for an existing Provincial Park or 
for a sewage lagoon in or for a Provincial 
Park; and 

(d) Amending and rescinding boundary regula- 
tions for existing Provincial Parks; 



be exempt from the application of the Act pursuant to 
section 29; and 

Having been advised that if the undertaking is sub- 
ject to the application of the Act, the following injury, 
damage or interference with the persons and property 
indicated will occur: 

A. The Ministry of Natural Resources (MNR) 
has included a schedule for completion of a 
Class Environmental Assessment (Class EA) 
for Provincial Park Management with its 
request for exemption. Pre-submission con- 
sultation and completion of the EA for for- 
mal submission will be hampered by having 
to prepare separate exemptions or assess- 
ments for all Provincial Park projects at the 
same time. 

B. Park environmental and recreational fea- 
tures could be damaged in the absence of 
Provincial Park projects that address exist- 
ing park management problems. 

C. Public enjo>Tnent of recreational features 
may be reduced in the absence of the imple- 
mentation of Provincial Park projects. 

D. The realization of the government's Outdoor 
Recreation Program objectives and economic 
benefits to local communities would be lim- 
ited. 

Having weighed such injury, damage or interfer- 
ence against the betterment of the people of the whole 
or any part of Ontario by the protection, conservation 
and wise management in Ontario of the environment 
which would result from the undertaking being sub- 
ject to the application of the Act; 

The undersigned is of the opinion that it is in the 
public interest to order and orders that the undertak- 
ing is exempt from the application of the Act for the 
following reasons: 

A. This interim exemption will allow Provincial 
Park plans and projects to continue while the 
Class Environmental Assessment for Provin- 
cial Park Management undergoes pre-sub- 
mission consultation. 

B. The Provincial Parks Program is carried out 
within a context of conservation, protection 
and wise management of the environment. A 
major feature of the Provincial Parks Pro- 
gram is the preservation of signifîcant natu- 



127 



982 



THE ONTARIO GAZETTE 



O. Reg. 87/89 



ral and cultural features in the Ontario land- 
scape. 

C. The conditions to which this undertaking is 
subject will ensure that affected government 
agencies and the public are informed of 
MNR's intentions to implement components 
of the Provincial Parks Program during the 
period of this exemption order. 

D. A number of activities that make up this 
undertaking are similar to activities that are 
covered by approved MNR Class Environ- 
mental Assessments. The Minister of Natu- 
ral Resources will apply such parts of the 
procedures specified in the Class Environ- 
mental Assessments as are appropriate to the 
activities that make up this undertaking until 
such procedures or other procedures are 
made directly applicable by the Environ- 
mental Assessment referred to in reason A. 

This exemption order is subject to the following 
terms and conditions: 

1. This exemption order does not apply to any 
plan or project: 

(a) for any provincial park designated by 
regulation under the Provincial Parks 
Act after June 1, 1983 which does not 
have a Park Management Plan 
approved by the Ministry of Natural 
Resources; 

(b) where development is likely to affect 
the habitat of a species designated 
under the Endangered Species Act 
(except for protecting the species); 

(c) where the estimated completion cost 
of a sewage or water works or a capi- 
tal construction or lease purchase 
project is in excess of $2 million, not 
including any land acquisition costs. 

2. Where any project for provincial park man- 
agement, or another activity, involves a dis- 
position of certain or all rights to Crown 
resources, including Crown property, such 
disposition will be done pursuant to this 
exemption order. Notice of all such disposi- 
tions will be given to the Ministry of the 
Environment as per Condition 3 below. 

3. MNR will continue to provide the Environ- 
mental Assessment Branch as well as the 
appropriate Regional Office of the Ministry 
of the Environment (MOE) with a list of pro- 
posed plans and projects (e.g. capital devel- 
opment and facility upgrading projects, 
facility retirement, park resource manage- 
ment activities, schedules for preparation or 
review of Park Management Plans) for the 
Provincial Parks Program no less than forty- 



five days prior to the implementation of any 
project. The lists will specify the nature, 
scope and location of all plans and projects 
and will specify which plans and projects 
will be carried out pursuant to another 
exemption order or approval. MNR will 
notify the above offices of revisions to the 
lists no less than forty-five days prior to the 
implementation of any plans or projects 
which are the subject of such revisions. 

4. A copy of all plans prepared for projects 
specified in the lists noted in Condition 3 
shall be available to the public for examina- 
tion at the appropriate District Office of 
MNR at least forty-five days before imple- 
mentation commences. 

5. Any activity exempt under this Order that 
would be approved under a MNR Class 
Environmental Assessment except that the 
approval does not apply to Provincial Parks 
shall be carried out in accordance with the 
appropriate Class EA procedures as though 
the activity were not in a Provincial Park by: 

(a) following the appropriate Class EA 
procedures, including notification, if 
there is no Park Management Plan; 
and 



(b) following the guidelines contained in 
the MNR Construction and Mitiga- 
tion Handbook if there is a Park Man- 
agement Plan. 

6. Within forty-five days of receiving notifica- 
tion from MNR under Condition 3 or Condi- 
tion 14, and after consultation with the Min- 
ister of Natural Resources, the Minister of 
the Environment may, by written notice to | 
the Minister of Natural Resources which out- 
lines his reasons, 

(1) direct that an environmental assess- 
ment be prepared for the proposed 
plan or project, in which event the 
plan or project will not be exempt 
under this Order; or 

(2) give notice that he is considering the 
application of subcondition 6 (1) to 
the proposed project. 

7. Where the Minister of the Environment has 
given written notice to the Minister of Natu- 
ral Resources under subcondition 6 (2), the 
MNR shall not implement the project until 
forty-five days have elapsed from the giving 
of notice or the Minister of the Environment 
gives written notice to the Minister of Natu- 
ral Resources that it is not proposed to 
require an environmental assessment, which- 
ever occurs first. 



128 



O. Reg. 87/89 



THE ONTARIO GAZETTE 



O. Reg. 88/89 983 



10. 



11. 



During the period covered by this Order, the 
Provincial Parks Program shall be planned, 
managed and implemented according to the 
following Provincial Parks' guidelines and 
policies: 

— Ontario Pro\TnciaI Parks Policy- 

— Ontario Pro\incial Parks Planning and 
Management Policies 

— Pro\nncial Parks Management banning 
Guidelines: 1983 

— Provincial Parks Management Planning 
Reference: 1988 

— Ontario Provincial Parks Provincial Oper- 
ating Standards 

— Ontario ProNnncial Parks Development 
Manual 

— Ontario Provincial Parks Development 
Standards 

— Ontario Provincial Parks Capital Mainte- 
nance Standards 

— Parks and Recreational Areas Branch Pol- 
icies and Procedures 

— ^Visitor Services Interim Policy 

The guidelines and policies specified in Con- 
dition 8 and any revisions or additions to 
these guidelines and policies will be made 
available by MXR for public inspection 
upon request and will be forwarded to the 
EnNoronmental Assessment Branch of the 
Ministry of the En\Trormient. 

Those plans and projects planned under this 
exemption, but not fully implemented by the 
date of expiry of this exemption, will have 
their status under the Environmental Assess- 
ment Act reviewed in connection with the 
review of the Class Environmental Assess- 
ment for Provincial Park Management and. 
if provided for in conditions of approval 
issued in connection with the undertaking, 
may continue to proceed in accordance with 
such conditions. 

This Order expires December 31, 1989 
except that the Minister of the Environment, 
taking into consideration the progress of the 
Ministrv' of Natural Resources on pre-sub- 
mission consultation and any related drafting 
of the Class Environmental Assessment for 
Provincial Park Management and upon the 
written request of the Minister of Natural 
Resources, may extend this expiry date but 
this extension shall not be bevond June 30, 
1990. 



12. If the Ministry of Natural Resources has sub- 
mitted a Class Environmental Assessment 
under this Act for the Provincial Park Man- 
agement undertaking prior to the expirv- of 
this Order, this Order shall remain in effect 
until a final decision on the approval of the 
undertaking for which the Class Environ- 
mental Assessment is submitted has been 
made. 

13. WTiere an Environmental Assessment has 
been done and approval to proceed issued for 
an individual Provincial Park plan or 
project, that plan or project shall be deemed 
to be a separate undertaking not exempt by 
this Order. 

14. Before the MNR amends or rescinds bound- 
arv- regulations for a park (which, for greater 
claritv'. includes the elimination of the entire 
area of a park), and foUov^ing appropriate 
public consultation and notification, it shall 
give at least fortv-five dav-s notice to the 
Environmental Assessment Branch and the 
appropriate Regional Office of the Ministrv- 
of the Environment. 

15. (1) This order replaces MNR-30/8, ffled as 

Ontario Regulation 607/87, MNR-5, filed 
as Order-in-CouncU 2891/76, MNR-12, 
filed as Order-in-CouncU 1764/78 and 
MNR- 15, filed as Order-in-Council 
409/79. 

(2) Those plans and projects planned under 
the exemptions referred to in subcondi- 
tion 15 (1) but not implemented by the 
date of approval of this exemption may 
continue to proceed in accordance with 
the conditions of this exemption. 
O. Reg. 87/89. 

James Br.\dley 
Minister of the Environment 



10/89 



GASOLINE TAX ACT 

O. Reg. 88/89. 

General. 

Made — February 15th, 1989. 

Filed— February 20th, 1989. 



REGULATION TO AMEND 

REGULATION 440 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

GASOLINE TAX ACT 



129 



984 O. Reg. 88/89 



THE ONTARIO GAZETTE 



O. Reg. 90/89 



1. Section 2 of Regulation 440 of Revised 
Regulations of Ontario, 1980, as 
remade by section 1 of Ontario Regu- 
lation 685/86, is revoked and the fol- 
lowing substituted therefor: 

2. — (1) For the purposes of subsection 4 (2) of the 
Act, every importer shall collect, 

(a) from every wholesaler or retailer to whom 
the importer sells gasoline or aviation fuel, an 
amount on account of the tax imposed under 
section 2 of the Act at the time of sale of the 
gasoline or aviation fuel to the wholesaler or 
retailers; and 

(b) from every purchaser to whom the importer 
sells gasoline or aviation fuel, the tax payable 
under section 2 of the Act. 

(2) Every importer shall, on or before the fifteenth 
day of the month following the month in which the 
gasoline or aviation fuel was imported into or received 
in Ontario, deliver to the Minister a statement together 
with, 

(a) the tax collectable by the importer and the 
tax payable by the importer in respect of the 
sales of gasoline or aviation fuel under sub- 
section (1); and 

(b) the tax payable by the importer under sub- 
section 4 (1) of the Act. 

(3) A statement required under this section shall set 
out the quantity of gasoline or aviation fuel or both 
imported by the importer into Ontario or received by 
the importer in Ontario and the names and addresses 
of the person from whom the gasoline or aviation fuel 
or both was purchased and the date of each purchase. 
O. Reg. 88/89, s. 1. 

2. This Regulation shall be deemed to 
have come into force on the 1st day of 
January, 1986. 

10/89 

PLANNING ACT, 1983 

O. Reg. 89/89. 

Restricted Areas — District of Kenora, 

Geographic Township of 

Wainwright. 
Made — February I7th, 1989. 
Filed— February 20th, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 326/81 

MADE UNDER THE 

PLANNING ACT, 1983 



1. Subsection 4(1) of Ontario Regulation 
326/81 is revoked and the following 
substituted therefor: 

(1) Every use of land and every erection or use of 
buildings or structures on the said Part 1 of Plan 
23R-4903 is prohibited except the location and use 
thereon of a mobile home park containing forty-nine 
mobile home sites. O. Reg. 89/89, s. 1. 

Pauline Morris 

Director 

Plans Administration Branch 

North and East 

Ministry of Municipal Affairs 

Dated at Toronto, this 17th day of February, 1989. 

10/89 



FARM INCOME STABILIZATION ACT 

O. Reg. 90/89. 

Apple Stabilization, 1983-1987 — Plan. 
Made— January 6th, 1989. 
Approved — February 15th, 1989. 
Filed— February 21st, 1989. 



REGULATION TO AMEND 
ONTARIO REGULATION 431/83 

MADE UNDER THE 

FARM INCOME STABILIZATION 

ACT 

1. Sections 12, 13 and 14 of Ontario Reg- 
ulation 431/83, as made by section 1 
of Ontario Regulation 285/85, are 
revoked. 

2. Sections 18, 19 and 20 of the said 
Regulation, as made by section 1 of 
Ontario Regulation 190/86, are 
revoked and the following substituted 
therefor: 

18. The base price for apples for the 1987 crop year 
is 22.55 cents per kilogram. O. Reg. 90/89, s. 2, 
part. 

19. The stabilization price for apples for the 1987 
crop year is 2 1.38 cents per kilogram. O. Reg. 90/89, 
s. 2, part. 

20. The farm product receipts for the 1987 crop 
year are calculated to be 20.42 cents per kilogram. 
b. Reg. 90/89, s. 2, part. 



130 



O. Reg. 90/89 



THE ONTARIO GAZETTE 



O. Reg. 93/89 985 



I 



Farm Income Stabilization Commission 
OF Ontamo: 

Keith Pinder 
Chairman 

Michèle Hill 

Secretary 

Dated at Toronto, this 6th day of Januar>% 1989. 
10/89 

FARM INCOME STABILIZATION ACT 

O. Reg. 91/89. 

Grain Stabilization, 1985-1988— Plan. 
Made— Januan- 6th. 1989. 
Approved — February- 15th, 1989. 
Filed— Februar> 21st, 1989. 



REGULATION TO AMEND 
ONTARIO REGULATION 509/85 

MADE UNDER THE 

FARM INCOME STABILIZATION 

ACT 

L Section 13 of Ontario Regulation 
509/85, as made by section 3 of Ontario 
Regulation 183/87, is amended by 
striking out "the 1985 crop sales year" - 
in the first and second lines and insert- 
ing in lieu thereof "a crop sales year". 

2. The said Regulation is amended by 
adding thereto the following sections: 

16. The base price for the 1987 crop sales year for 
white beans is $532.11 per tonne. O. Reg. 91/89, 
s. 2, part. 

17. The stabilization price for the 1987 crop sales 
ye2u- for white beans is $479.75 per tonne. O. Reg. 
91/89, s. 2, part. 

18. The farm product receipts for the 1987 crop 
sales year for white beans are calculated to be $292.33 
per tonne. O. Reg. 91/89, s. 2, part. 

Farm Income Stabilization CoM&assioN 
OF Ontario: 

Keith Finder 
Chairman 

Michèle Hill 
Secretary 

Dated at Toronto, this 6th day of January-, 1989. 

10/89 



JUSTICES OF THE PEACE ACT 

O. Reg. 92/89. 
Salaries and Benefits. 
Made— February 15th, 1989. 
Filed— Februar\- 23rd. 1989. 



REGULATION TO AMEND 
ONTARIO REGULATION 398/84 

MADE UNDER THE 
JUSTICES OF THE PEACE ACT 

1. Section 1 of Ontario Regulation 
398/84 is amended by adding thereto 



the following subsections: 



(la) The Lieutenant Governor in Council may 
authorize payment of an annual salary set out opposite 
a level in Table 2 to a full-time justice of the peace 
when. 

(a) the Lieutenant Governor in Council 
authorizes the payment of a salary to the jus- 
tice of the peace; 

(b) the justice of the peace is authorized to pre- 
side over the Provincial Offences Court; and 

(c) having previously been a fuU-time justice of 
the peace pziid by salary for at least three 
years, the justice of the peace subsequently 
ceased to be a full-time justice of the peace 
paid by salary. 

(lb) The annual salary of a justice of the peace 
described in subsection (la) shall be increased in 
accordance with subsection 2 (2). O. Reg. 92/89, 
s. 1. 

10/89 

PROVINCIAL OFFENCES ACT 

O. Reg. 93/89. 
•Approval of Part 11 By-laws. 
Made— February 15th, 1989. 
Filed— February 23rd, 1989. 

ORDER IN COUNCIL 

ROC. 63/89 

On the recommendation of the undersigned, the 
Lieutenant Governor, by and with the advice and con- 
currence of the Executive Council, orders that pursu- 
ant to subsection 15 (2) of the Provincial Offences Act, 
Revised Statutes of Ontario, 1980, chapter 400, the 
by-laws mentioned in Column 1 of the Table, declar- 
ing that Part II of the said Act applies in the munici- 
pality in respect of parking infractions under by-laws 
of the municipality on the date set out opposite thereto 
in Column 2 , are approved. 



131 



986 O. Reg. 93/89 



THE ONTARIO GAZETTE 



O. Reg. 94/89 



T.^BLE 



Column 1 



Column 2 



By-law No. 335-88 of The Cor- April 1, 1989 

poration of the Town of 

Markham 

By-law No. 75-88 of The Cor- April 1, 1989 

poration of the Township of 

Pittsburgh 

By-law Xo. 88-28 of The Cor- April 1, 1989 

poration of the Township of 

Schreiber 

By-law Xo. 1970 of The Cor- April 1, 1989 
poration of the Township of 
Colchester South 

By-law Xo. 103-88 of The Cor- April 1, 1989 

poration of the City of 

Xanticoke 



O. Reg. 93/89. 

Iax Scott 
Attorney General 

MURR.'W Elston 
Chairman 



Recommended 



Concurred 



Approved and Ordered, Februar>' 15th, 1989. 

Llncoln M. Ale.x.\xder 
Lieutenant Governor 

10/89 

HEALTH INSURANCE ACT 

O. Reg. 94/89. 

General. 

Made — February 22nd, 1989. 

Filed— February 23rd, 1989. 



REGULATION TO AMEND 

REGULATION 452 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

HEALTH INSURANCE ACT 

L Subsection 59 (In) of Regulation 452 
of Revised Regulations of Ontario, 
1980, as made by section 2 of Ontario 
Regulation 36/88, is revoked and the 
following substituted therefor: 

(In) The amount payable by the Plan for an insured 
service rendered by a physician outside Ontario to an 
insured person on or after the 1st day of July, 1987 and 
before the 1st day of April, 1988 is the lesser of. 



(a) the amount actually billed by the physician; 
or 

(b) the amount set out opposite the service in 
Schedule 15 as it existed on the 22nd day of 
February, 1989 or 49 cents multiplied by the 
applicable individual value for such service 
set out opposite the service in Schedule 16, as 
the case may be. 

(lo) The amount payable by the Plan for an insured 
service rendered by a physician outside Ontario to an 
insured person on or after the 1st day of April, 1988 
and before the 10th day of February, 1989 is the lesser 
of, 

(a) the amount actually billed by the physician; 



(b) 101.75 per cent of the amount set out oppo- 
site the service in Schedule 15 as it existed on 
the 22nd day of February, 1989 or 49 cents 
multiplied by the applicable individual unit 
value for such service set out opposite the 
service in Schedule 16, as the case may be. 

(Ip) The amount payable by the Plan for an insured 
service rendered by a physician outside Ontario to an 
insured person on or after the 10th day of February, 
1989 is the lesser of, 

(a) the amount actually billed by the physician; 



(b) the amount set out opposite the service in 
Schedule 15 or 49 cents multiplied by the 
applicable individual unit value for such ser- 
vice set out opposite the service in Schedule 
16, as the case may be. O. Reg. 94/89, s. 1. 

2. Subsection 67 (2o) of the said Regula- 
tion, as made by section 4 of Ontario 
Regulation 36/88, is revoked and the 
following substituted therefor: 

(2o) The amount payable by the Plan for an insured 
service rendered by a physician in Ontario to an 
insured person on or after the 1st day of July, 1987 and 
before the 1st day of April, 1988 is the amount set out 
opposite the service in Schedule 15 as it existed on the 
22nd day of February, 1989 or 49 cents multiplied by 
the individual applicable unit value for such service set 
out opposite the service in Schedule 16, as the case 
may be. 

(2p) The amount payable by the Plan for an insured 
service rendered by a physician in Ontario to an 
insured person on or after the 1st day of April, 1988 
and before the 10th day of February, 1989 is 101.75 
per cent of the amount set out opposite the service in 
Schedule 15 as it existed on the 22 nd day of February, 
1989 or 49 cents multiplied by the individual applica- 
ble unit value for such service set out opposite the 
service in Schedule 16, as the case may be. 



132 



O. Reg. 94/89 THE ONTARIO GAZETTE 987 



(2q) The amount payable by the Plan for an insured 
service rendered by a physician in Ontario to an 
insured person on or after the 10th day of February, 
1989 is the amount set out opposite the service in 
Schedule 15 or 49 cents multiplied by the individual 
applicable unit value for such service set out opposite 
the service in Schedule 16, as the case may 
be. O. Reg. 94/89. s. 2. 



Schedule 15 to the said Regulation, as 
remade by section 3 of Ontario Regu- 
lation 472/87 and amended by section 1 
of Ontario Regulation 126/88 and sec- 
tion 1 of Ontario Regulation 240/88, is 
revoked and the following substituted 
therefor: 



A. General 



Schedule 15 
Schedule of Benefits 

PREAMBLE 



1. The rates listed in this Schedule of Benefits are the maximum payments which can be made by the Ontario 
Health Insurance Plan. 

2. Insured medical services are limited to the services which are medically necessary and listed in this 
Schedule of Benefits without being specifically excluded by legislation or regulation. (See Appendix A for list 
of specific exclusions). 

3. Additions, deletions or other modifications of the Schedule of Benefits require recommendation by the 
Ontario Health Insurance Plan. Such recommendations are made in consultation with the Ontario Medical 
Association. 

4. This Schedule is a public document and frank discussion with patients regarding the listed rates is 
recommended. 

5. Claims for services which are not listed in the Schedule or which are listed as NA.B. (not a benefit) or 
which are excluded as benefits by legislation or regulation should not be submitted to the Plan. Such 
services may be charged directly to patients or persons financially responsible for the patient's care. 

6. The principles governing proper professional charges are incorporated in the Regulations (Medicine) of 
the Health Disciplines Act. 

7. Each physician who participates in the care of a patient is entitled to compensation commensurate with 
the services he/she renders. 

8. When applicable, the physician should acquaint the patient or person financially responsible with their 
obligations to those concerned with their care. This is particularly important where supportive or 
concurrent care is rendered or when a consultation and/or procedure is being arranged. 

9. Each physician dealing directly with a patient should render to the patient, or to the financially 
responsible party, an itemized statement of charges for professional services and when requested, send a 
receipt to the patient for all payments made by him/her. 

10. If fees are collected by an organized group, the name of the physician rendering the service should be 
clearly shown on the bill or claim card. 

11. Claims may be submitted for services which a patient receives from the team of staff physician, resident 
and intern in a teaching unit, provided that the conditions as set out hereunder apply. 

On October K), 1972, the Minister of Health confirmed that the joint recommendations of the College and 
the O.M.A. governing the charging of fees for services provided by interns and residents in climcal 
teaching units are acceptable to the Ministry of Health. In his letter the Minister made it very clear that 
he is looking to the College and the Medical Schools to ensure that the ethical rules governing these 
billing procedures are followed meticulously in all cases. 

It has been carefully explained that the responsible staH' physician must be present in the clinical teaching 
unit at the time the services are rendered and must be identified to the patient at the earhest possible 
moment. No fees are to be charged for services given by the intern or resident prior to this identifica- 
tion taking place. The following rules are now in effect:- 

When patient care is rendered in a cHnical teaching unit or other setting for clinical teaching by a health 
care team, the physician responsible shall be personally identified to the patient. The physician's 
relationship to the team shall be defmed by the clinical teaching unit Director and his/her role must be 
known to the patient and other members of the team. He/she shall assume full responsibility for the ap- 
propriateness and the quality of the services rendered. 

Specific regulations must vary with the service and form of care being delivered:- 

(a) In order to claim for physical procedures being carried out by an intern or resident, the responsible staff 
physician must be in the clinical teaching unit and immediately available to intervene. 

(b) In psychotherapy where the presence of the staff physician would distort the psychotherapy milieu, it is 
appropriate for the staff physician to claim for psychotherapy when a record oithe interview is carefully 
reviewed with the intern or resident and the procedure thus supervised. However, the time charged by 
the staff physician may not exceed the total time spent by him/her in both such interview and direct su- 
pervision. 

(c) In other departments or services, the staff physician should only claim for visits on the days when actual 
supervision of that patient's care takes place through the presence of that sXaff physician m the clinical 
teaching unit on that day. This, of course, involves a physical visit to the patient and/or a chart review 
with detailed discussion with the other member(s) of the health team. 

133 



988 THE ONTARIO GAZETTE O. Reg. 94/89 

PREAMBLE 

(d) In those situations where on a regular basis a staff member might supervise concurrently multiple proce- 
dures or services through the use of other members of the team, the total claims made by the staff 
physician shall not exceed the amount that the staff physician might make in the absence of the other 
members of the team. 
Any claim rendered should be in the name of the responsible staff physician. 
12. Charges for missed appointments and procedures are not beneHts of OHIP. 
B. Terms and Definitions: 

Call or Visit: is the service by a physician to a patient for assessment and/or treatment. 
1. Consultations: 

(a) A consultation refers to the situation where a physician, in light of his/her professional knowledge of the 
patient, requests the opinion of another physician competent to give advice in this field, because of the 
complexity, obscurity or seriousness of the case or because smother opinion is requested by the patient 
or an authorized person acting on his/her behalf. The consultant is obliged to perform a general or 
specific assessment, review the laboratory or other data and submit his/her fmdings, opinions and 
recommendations in writing to the referring physician. 

(b) If a consultant is requested by a physician on duty in the emergency department to see a patient in con- 
sultation, the former may charge a consultation fee for this service. If the consultant is requested to per- 
form this same service by a resident or intern, the former may charge a general or specific assessment ac- 
cording to his/her specialty. 

(c) For laboratory and procedural benefits connected with consultations, see listings of Diagnostic and 
Therapeutic Procedures and Laboratory Medicine. 

(d) A consultation is not to be claimed as such when: 

(i) The patient presents him/herself to a consultant's office without prior knowledge of the primary 
physician. The sending of a report to the primary physician under these circumstances does not justify 
a consultation. 

(ii) The primary physician is not asked for professional advice but is simply asked by the patient for the 
name of a specialist in a particular field and the patient seeks out the specialist him/herself. 

(e) A repeat consultation requires all of the criteria of a full consultation and implies interval care by the 
primary physician. The situation in which the consultant requests the patient to return for a later ex- 
amination is not a repeat consultation. 

(f) A limited consultation may involve all the components of a full consultation but is less demanding, and 
in terms of time, normally requires substantially less of the physician's time than the full consultation. 

(g) A diagnostic radiology consultation applies when radiographs made elsewhere are referred to a 
radiologist for his/her written opinion or when a radiologist is required to make a special visit at Night 
(5:00 p.m. to 7:00 a.m.) or Saturdays, Sundays and Holiclays to consult on the advisability of performing 
a diagnostic radiological procedure which eventually is not donc. A consultation does not apply when 
the radiographs referred to above are used for comparison purposes with radiographs made m the con- 
suhant's facilities. 

(h) A diagnostic laboratory medicine consultation applies when tissue, slides, and/or specimens are 
referred to a second laboratory medicine physician not in the same institution for a written opinion. It 
does not apply when the above are used for comparison with tissue, slides, materials or tests done in the 
consultant's facilities. When a diagnostic laboratory medicine consultation fee is claimed, surreal 
pathology fees may not also be claimed. 

(i) A laboratory medicine consultation or repeat consultation applies when a laboratory medicine 
physician is requested to examine a patient and provide a written opinion. 

(j) A diagnostic nuclear medicine consultation applies when nuclear medicine studies are referred to a 
nuclear medicine specialist for a written opinion, or when the nuclear medicine physician is required to 
make a special visit at Night (5:00 p.m. to 7:00 a.m.) or Saturdays, Sundays and Holidays to consult on 
the advisability of performing a nuclear medicine procedure which eventually is not done. A consult- 
ation does not apply when procedures done elsewhere arc used for comparison purposes with nuclear 
medicine studies made in tne consultant's facilities. 

(k) A nuclear medicine consultation or repeat consultation applies when a nuclear medicine specialist is 
requested to examine a patient and provide a written opinion, all of which takes a greater amount of 
time and effort than a nuclear medicine study would normally require. It may be done in conjunction 
with a nuclear medicine study but if so, the lesser professional fee (P2) rather than the greater fee (Pi) 
should be claimed in addition to the technical fee (T). 



134 



O. Reg. 94/89 THE ONTARIO GAZETTE 989 

PREAMBLE 

(I) Some nvdear medicine specialists have other specialist qualifications which allow them to claim 

another consultation (e.e. internal medicine). A nuclear medicine consultation or repeat consultation 
may be claimed in lieu of another consultation (e.g. internal medicine) but would not be combined with 
such a consultation by the same consultant. 

(m) A prénatal ceosultatioa by a paediatrician applies when a physician considers a foetus of greater than 
20 weeks gestation to be at risk or in jeoparoy by reason of^continuation of pregnancy in the presence of 
maternal and/or foetal distress, and requests the opinion of a paediatrician competent to give advice in 
this field. The paediatrician shjill perform a general or specific assessment, review laboratory and other 
data and submit his.'her findings and recommendations m writing to the referring physician. Such a con- 
sultation does not preclude the paediatrician from a post-natal consultation on the infant. 

(n) A special surgical consultation may apply when a surgeon provides all the components of a regular con- 
sultation but IS required to s()end at least fifty minutes with the patient (exclusive of any tests) m consult- 
ation because of the very complex, obscure or serious nature of the problem. The surgeon should claim 
for special consultations on an l.C. basis (A935)**. See paragraph B32. 

(o) Ab emergency physician consultation applies when a patient is referred by another physician (other 
than an E.R. physician in the same hospital) who has seen and examined the patient and requested the 
opinion of an emergency room physician because of the complexity, obscurity or seriousness of the case. 
The consultant shall perform the necessary assessment, review the laboratory, x-ray or other data and 
submit his findings, opinions and recommendations in writing to the referring physician. A copy of the 
E.R. chart does not constitute a consultation report. This consultation is not chargeable for the routine 
transfer of care to the E.R. nor for the provision of treatment for a previously diagnosed condition. It 
does not apply to patients who present themselves to the E.R. or are brought by people acting on their 
behalf. It is anticipated that these consultations will replace some of the consultations that would other- 
wise be provided by consultants in other branches of medicine. If the consultation leads to admission to 
hospit<il, no separate fee is chargeable for the admission assessment by the same physician. 
The consultation code for a specialist in emergency medicine (F.R.C.P.) is H05S**, for all others use 
codeH065**. 

Note: OHIP benefits for consultations normally are limited to one consultation per year, per patient, by 
any one physician. However, if the same patient is referred to the same consultant a second time within 
the year with a clearly defined unrelated diagnosis, one additional consultation may be claimed per year. 

2. General Assessment: shall comprise a full history, an enquiry into, and an examination of all parts or systems 
(and may include a detailed examination of one or more parts or systems), an appropriate record and advice to 
the patient.* 

OHIP benefits for general assessments normally are limited to one per year per patient by any one physician. 
However, if the same patient presents again within the year to the same physician with a clearly defined 
unrelated diagnosis, one additional general assessment may be claimed per year. In the case of a patient who 
proceeds normally to hospital, the admitting physician may claim one additional general assessment per year 
provided 90 days have elapsed since the last general assessment rendered (anywhere) to that patient by the 
admitting physician. If the patient doesn't qi^ify for a general assessment by the admitting physician, be may 
claim a general re-assessment. 

3. General Re-Assessment: shall comprise the same ser^ices as a general assessment except that the history need 

not include all the detail already obtained in the original general assessment.* 

OHIP benefits for general re-assessments, except for hospital admission re-assessments, are limited to two per 

year, per patient, by any one physician. 

4. Spedfic Assessment: shall comprise a full history of the presenting complaint, enquii^ concerning, and 
detailed examination of the affected part, region or system(s), as needed to make a diagnosis, an^or exclude 
disease and/or assess function, an appropriate record and advice to the patient.* (This may vary among 
sections.) 

Physicians qualified in two specialties (EENT for example) may only claim for one visit, e.g. a 
consultation (if referred) or a specific assessment (if non-referred), if both systems are examined during the 
same visit. However, two consultations or two specific assessments, etc. may be claimed if both systems are 
examined, each on a separate visit. 

OHIP benefits for speafic assessments normally are limited to one per year, per patient, by any one physician. 
However, if the same patient presents again within the year to the same physician with a clearly defmea 
unrelated diagnosis, one additional specific assessment may be claimed per year. 

*For laboratory and other investigation performed in conjunction with a consultaticm or visit, see Diagnostic 
and Therapeutic Procedures and Laboratory Medicine. 

**Pleasc refer to page zxi for fee listing. 



135 



990 THE ONTARIO GAZETTE O. Reg. 94/89 

PREAMBLE 

5. Specific Re-Assessment: shall comprise a full relevant history and a comprehensive physical examination of 
one or more systems but not requiring an evaluation of the patient as a whole.* This service is the admission 
assessment when the patient has been seen prior to admission in the same illness. It is included in the surgical 
fee except for those procedures marked I.O.P. 

6. Partial Assessment shdl comprise a history of the presenting complaint, the necessary physical examination, 
an appropriate record and advice to the patienL It also apphes to subsequent visits for assessing the response 
to treatment and/or advice provided in a previous service.* 

7. intermediate Assessment is a primary care service for physicians providing general practice or paediatric 
services and is a more extensive assessment than a minor assessment. It shall comprise a history of the 
presenting complaint(s), enquiry concerning and examination of the affected part(s), region(s), or system(s) 
or mental or emotional disorder as needed to make a diagnosis, exclude disease and/or assess function, 

an appropriate record and advice to the patient.* 

8. Multiple Systems Assessment: shall comprise a detailed history and examination of more than one system, 
part or region, an appropriate record and advice to the patient.* 

9. (a) Minor Assessment: is a visit which involves a direct doctor-patient interaction at which either or both of 
the following are provided and an appropriate record made of the visit: 

(i) a brief assessment which includes the necessary history and examination of the affected part or region 

or mental or emotional disorder; 
(ii) brief advice or information regarding health maintenance, diagnosis, treatment and/or prognosis, 
(b) Minor Assessment - Diagnostic Radiology: applies when direct doctor-patient interaction occurs during 
which either of the following non-emergent services is provided, and an appropriate record made: 

(i) assessment of the patient resulting in a decision to cancel the planned examination or equivalent pro- 
cedure 
(ii) a procedure or examination is cancelled or deferred due to procedural difHculties including lacl( of 
patient cooperation, if no other procedure is done. 

10. Mini Assessment: applies when a physician examines and/or treats a patient for a completely uiu-elated 
problem in addition to the examination/treatment of a W.C.B. related problem (for wmch the W.C.B. will only 
pay a minor assessment) during the same office visit.* The code for the mini assessment is A008.** 

11. Re-Assessment (by physician on duty in the Emergency Department): one re-assessment may be charged 
when, at least two hours after the original assessment is completed (including appropriate investigation and 
necessary treatment), a subsequent assessment indicates that further provision ot care and/or investigation is 
required and performed. Re-assessments are not to be claimed for discharge assessments nor when the patient 
is admitted by the physician on duty in the Emergency Department, nor when this assessment leads directly to 
referral for consultation. 

12. Well Baby Care: the periodic visits of a well baby during the first twq years of life involving complete 
examination with necessary weight and measurements and instructions to the parent(s) regarding health care. 

13. Annual Health or Annual Physical Examination (including Primary and Secondary School Examination): 
shall comprise all the elements of a general assessment as it pertains to an individusd after the second birthday 
who presents and reveals no apparent physical or mental illness. 

OHIP benefits for any one physician are limited to one Annual Health Examination per patient per year after 
the second birthdate. To qualify, an Annual Health Examination normally must be requested by the patient 
rather than a third parfy. Regulation 452 of Revised Regulations of Ontario, 1980 under the Health Insurance 
Act, examinations lor the purpose of "legal requirements or proceedings" are excluded from coverage. 
However, it is recognized that an annualHealth Examination will satisfy some or all of the requirements for 
examinations required by statute but excluded by the above mentioned Regulation. In such instances and where 
a prior claim for an Annual Health Examination has not been submitted to the Plan in the previous twelve 
months for that patient, it would be appropriate to submit a claim to OHIP for this service. The OHIP benefit 
in these cases covers the Annual Health Examination only and not any charges peculiar to the legal 
requirements, such as charges for the completion of forms. 

*For laboratory and other investigation performed in conjunction with a consultation or visit, see Diagnostic 
and Therapeutic Procedures and Laboratory Medicine. 

**Pleasc refer to page xxl for fee listing. 



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991 



14. Long Ttrm Institntional Care: includes the listings for consultations, assessments and other visits to patients 

in cb-onic care hospitals, convalescent hospitals, nursing homes and other institutions in which such patients are 
covered by extended care legislation. 

Admission Assessments to Long Term Care Institutions: 

Type 1 - applies when the admitting physician has not performed a consultation, general assessment or 
general re-assessment prior to adimssion and when he/she carries out a general assessment (on admission) 
and provides a report for the medical record. 

Type 2 - applies when the admitting physician has performed and claimed for a consultation, general assess- 
ment or general re-assessment prior to admission, makes an initial visit and records an admission note 
describing the condition of the patient following admission. 

Type 3 - applies when the admitting physician readmits a patient after a 3 day stay in another institution; the 
admitting physician shall carry out a general re-assessment and provide a report for the medical record. 
Note:When a physician already is in the institution and is asked to assess one of his/her own in-patients on a non- 
emergent or an emergent basis, the subsequent visit listings apply. However, if he/she is asked to assess another 
physician's patient on an emergency basis, the General Listmgs should be used. 

15. Subsequent Visits to Long Term Care Institutions: include the supervisory care as well as the active 
treatment of acute intercurrent illness when the physician is alreaay in the long term care institution. The 
supervisory care component includes discussion with the patient and/or family and/or examination of the 
patient and also includes as required, discussion with the nurse, chart review and annotation of the chart. When 
acute intercurrent illness requires a special visit, the appropriate fees under General Ustings and Premiums 
apply. For acute intercurrent illnesses requiring visits after the monthly maximums have been claimed, extra 
visits should be made on an I.C. basis using code W121.** 

16. Prenlental General Assessment: is the history and examination of a patient required prior to dental 
surgery under anaesthesia in hospital. A diagnosis is not required by OHIP for this service. 

17. Newborn Care: is the routine care of a well baby up to ten days of age and should include a complete 
physical examination of the baby and necessary instructions to the mother. The service shall involve at least two 
visits but may involve only one visit if the hospital stay is less than 24 hours and normally may not be claimed for 
the same patient by more than one physician. When a well baby is transferred to another hospital (because of 
the mother's state of health, for example) claims for newborn care by a physician at each hospital may be 
appropriate. 

18. Low Birth Weight Baby Care: is the care of a baby weighing less that 2 J kilograms at birth. 

19. Psychotherapy: is any form of treatment for mental illness, behavioural maladaptations, and/or other 
problems that are assumed to be of an emotional nature, in which a physician deliberately establishes a 
professional relationship with a patient for the purposes of removing, modifying, or retarding existing 
symptoms, or attenuating or reversing disturbed patterns of behaviour and of promoting positive personality 
growth and development. Accordingw, therefore, a psychotherapeutic procedure maybe claimed if a half hour 
or major part thereof has been spent oy a physician personally in such treatment of tlie patient. The minimum 
time period for psychotherapy (to be claimed as such) is twenty minutes. In order to claim for a major portion 
of a second or subsequent time interval of psychotherapy for the same patient during the same visit, the 
preceding time interval must be a full 30 mmutes of psychotherapy. When psychotherapy extends beyond thirty 
minutes, the major part (16 minutes) of the next halt hour must be spent with the patient to qualify for an 
additional half hour fee. Similarly, aifter one hour of psychotherapy, the major part (16 minutes) of the next half 
hour, must be spent to qualify for an additional half hour, and so on. 

20. (a) Counselling (K013): is distinct from psvchotherapy and is that form of activity in which the physician 

engages in an educational dialogue with the patient(s), on an individual or group basis wherein the goal 
of the physician and patient(s) is to become aware of the patient's problems or situation and of 
modabties for prevention and/or treatment. Counselling is not to be claimed for the advice that is a 
normal part of any consultation or assessment, or for ongoing treatment. Counselling sessions must be 
rendered personally, by the attending physician. 
If the counselling session is less than 20 minutes, the appropriate assessment fee should be claimed. 

**Please refer to page xxi for fee listing. 



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992 THE ONTARIO GAZETTE O. Reg. 94/89 

PREAMBLE 

(b) IVansplant Counselling (K014): includes counselling of recipient, donor or appropriate family 
member(s) of recipient or donor, and the presentation of adequate clinical data to enable the |}erson(s) 
concerned to make an informed decision regarding organ transplantation. This may only be claimed 
when transplantation or donation is imminent. 

(c) Counselling of Relatives on behalf of a Catastrophically or Terminally III Patient (KOIS): is distinct 
from psychotherapy and is that form of activity in which the physician engages in an educational 
dialogue with the relative(s), on an individual or group basis wnere the goalof the physician and 
relative(s) is to become aware of the modalities for treatment and/or prognosis. Counselling must be 
rendered personally by the attending physician. It must be a booked, separate appointment in the office 
or institution and billed under the patient's OHIP number. It only apphes to relatives of 
catastrophically or terminally ill patients. 

21. Genetic Counselling: includes interviewing the appropriate family members, the collection and assessment of 
adequate clinical and genetic data to make a diagnosis, construct a pedigree and assess the risks to persons 
seeking advice. It includes imparting this information and the various alternatives to the appropriate family 
members for dealing with the problem in such a way that they can make informed decisions about the genetic 
problem. Counselling must be rendered personally by the attending physician. 

22. Documentation: when a physiciam examines or treats a patient, an appropriate record of such service 
should be made. (See Appendix B). 

23. Visit for Procedure: when the sole reason for an office visit is the performance of a certain procedure, the 
listed benefit for the procedure will apply (See Diagnostic and Therapeutic Procedures Preamble for 
exceptions). When procedures are carried out in the office, emergency or outpatient department, on an 
elective basis, special visit fees should not be claimed in addition to the procedural fee. When procedure(s) are 
carried out by a physician's employee(s), under the direct supervision of the physician in his/her office, the usual 
claims may be made for proceaure(s) which are generally and historically accepted as those which may be 
carried out by the nurse or other medical assistant in the employ of the physician. "Procedures" in this context 
do not include such services as assessments, consultations, psychotherapy, counselling, etc. Direct supervision 
requires that, during the procedure, the physician be physically present in the office or clinic at which the 
service is rendered.*** While this does not preclude the physician from being otherwise occupied he/she must 
be in persond attendance to ensure that procedures are being performed competently and he/she must at all 
times be available immediately to approve, modify or otherwise intervene in a procedure as required in the best 
interests of the patient. 

For Physical Medicine procedures performed on the physician's own patient under direct supervision as 
detailed above, see Code G467 listed in Diagnostic & Therapeutic Procedures - Physical Medicine. 

24. Health Examination: this may vary in extent accordingto the purfwse for which it is required (e.g. 
pre-employment, insurance, free from infection, etc.). This is not a benefit of OHIP and the fee should be 
according to the type of assessment necessary for this purpose and billed to the patient or pjirty requesting 
the service. 

25. Age: (unless otherwise specified) 
Newborn - up to 10 days of age. 
Infant - up to 2 years. 

Child - up to and including 15 years. 
Adolescent - up to and including 17 years. 
Adult - 18 years and over. 

26. Most Responsible Physician: is the attending physician who is primarily responsible for the day to day care 
of the patient in hospital. In cases of unusual severity where the consultant assumes the role of the most 
responsible physician, the consultant may claim on a per visit basis and the family physician may claim 
supportive care. Where the family physician remains the most responsible physician and requests only a 
consultation, the family physician may claim on a per visit basis and the consultant may claim a consultation only. 

*•* Some procedures may not require the physical presence of a physician for adequate supervision. Excep- 
tions to this requirement of direct supervision may be made upon recommendation of the Ontario Medical 
Association and the College of Physicians and Surgeons of Ontario. 



138 



O. Reg. 94/89 THE ONTARIO GAZETTE 993 

PREAMBLE 

27. Transferal and Referral: 

(a) A referral takes place when one physidan requests for his/her patient the services of another. The ser- 
vices of the latter may consist of: 

(i) an opinion (i.e. a consultation) 

(ii) diagnostic tests or procedures (e.g. skin test, biopsy, etc.) 
Note: In such cases the referring physician continues to treat the case him/herself 
(iii) treatment (surgical or medical). 
The referring physician's OHIP registration number must be included on the claim submission. 

(b) A transferal, as distinguished from a referral, takes place where the responsibility for the care of the 
patient is completely transferred permanently or temporarily, from one physician to another (e.g. 
where the first physician is leaving temporarily on holidays and unable to continue to treat the case). 
Physicijins who are substituting for other physicians should consider that patients of the latter have 
been temporarily transferred (not referred) to their care. The physician to whom the patient is trans- 
ferred should be regarded as substituting for the other physician. Where the care of the patient involves 
a benefit containing several components such as surgery, the physicians may consider the surgical 
benefit a team benefit and decide among themselves how eacn is to be compensated; traditionally 
physicians in these circumstances have reciprocated by exchanges of coverage for each other. When 
physicians routinely or frequently substitute for each other in providing hospital visits to registered bed 
patients in active treatment hospitals, e.g. weekend coverage or daily rounds by various members of a 
group, the most responsible physician may claim for all the visits. 

28. Concurrent Care: applies when the family physician remains the most responsible physician but because of 
the seriousness or complexity of the condition, requests continued directive care by a consultant. The family 
physician may claim on a per visit basis and the consultant may also claim on a per visit basis not to exceed four 
such claims during the first week of concurrent care and not to exceed two such claims each week thereafter 
while the patient's condition remains serious - this arrangement being agreeable to both physicians. 

29. Multidiscipiinary Care: applies when the complexity of the medical condition requires the services of 
several physicians in different disciplines. In such cases, each physician should render a separate account on a 
per visit basis. This does not refer to a situation where a single benefit for a team of physicians is listed in this 
Schedule. 

30. Supportive Care: is the care rendered in hospital by the referring physician, who is not actively treating the 
case (e.g. writing orders), to a patient under the care of another physician, at the desire of the patient or family, 
for purposes of liaison or reassurance. The physician may cljiim for this care on a per visit basis not to exceed 
four such claims during the first week of supportive care (determined by the date of the fu-st supportive care 
visit) and not to exceed two such claims each week thereafter. If medical complications develop or are present 
in the post-operative period which require active management by the referring physician, hospital medical care 
fees should be applied not supportive post-operative fees. 

31. Terminal Care: applies to one designated physician responsible for the care of a terminally ill patient 
suffering from malignant disease. Terminal care will be deemed to start when there is no aggressive treatment 
of the underlying disease process and care is directed to maintaining the comfort of the patient until death 
occurs. Terminal care should be claimed retroactively after death on the basis of visits actually rendered for a 
period not to exceed four weeks prior to death. Terminal care visit fees as described above do not apply when 
unexpected death occurs after prolonged hospitalization for another diagnosis unrelated to the cause of death. 
Visits to patients in hospital may be claimed using code C882** by general and family practitioners and using 
code C982* * by specialists. For patients receiving terminal care in chronic hospitals, the visits should be 
claimed with codes W882** and W982** respectively and in Nursing Homes and Homes for the Aged the visits 
should be claimed with codes W872** and W972** respectively. 

32. Independent Consideration - I.C": Independent consideration may be given where a set fee is not listed in 
the Fee Schedule. Claims rendered under this heading should contain an explanation of the fee claimed. It is 
helpful to the Medical Consultant if claims for I.C. include an operative or consultation report and a 
comparison of the scope and difficulty of the procedure with otner procedures in the Schedule. 

33. Specialist: A specialist shall be defmed (for purposes of application in the case of any given service within 
this Schedule) as one who holds a certificate from The Roval College of Physicians and Surgeons of Canada in 
the specialty which normally is considered to encompass the service in question. A specialist rendering services 
outside of his specialty should use the codes and tariffs listed in the General Practice section of the Schedule. 

**Please refer to page xxi for fee listing. 



139 



994 THE ONTARIO GAZETTE O. Reg. 94/89 

PREAMBLE 

34. DifTerential Benefits: 

(a) Procedural fees apply to any physician rendering the services regardless of specialty. 

(b) Specialists providing primary care in a eeneral practice setting shall claim the appropriate visit fees (as 
defmed in tne Preamble) listed under the headmg Family Practice and Practice in General. Certain 
other non specialist services such as counselling and interviews are under the same heading for the use 
of any physician providing such services. 

(c) Specialists in paediatrics who practice allergy may claim specialist fees for their allergy services regard- 
less of the age of their patients. 

35. Referring Physician's Services: 

(a) For the services rendered prior to the operation, the referring physician should claim on a fee-for-ser- 
vice basis, for example: 
(i) Visits as rendered 

(ii) In addition to (i) above, in acute cases if detained, the physician may claim detention fees if 
appropriate. See Preamble, paragraph B.45. 
(b)(i) For services rendered as an assistant during the operation, the referring physician should claim an 
assistant's fee. 
(ii) In cases in which the referring physician is required to be present in the interest of the patient but does 
not actually assist at the surgical procedure, he/she should claim on a hospital visit basis for this service, 
(c) For the services rendered after the operation, the referring physician may claim on the basis of suppor- 
tive care fees as outlined in the schedule. 

36. Assistants' Services: 

(a) The assistants' fees are determined by adding the listed basic units and time units and multiplying the 
total number of units by the unit fee**. For a case commencing after 5:00 p.m. and before midnight or 
on Saturdays, Sundays and Holidays, increase the total assistant's fee by 40% (E400B). For a case com- 
mencing after midnight and before 7:00 a.m. any night of the week, increase the total assistant's fee by 
50% (E401B). 

(b) When a physician is required to make a special visit to the hospital to assist at surgery, he/she may claim 
a special visit premium by using code C998B** for a case commencing after 5:00 p.m. and before mid- 
ni^t or on Saturdays, Sundays and Holidays by using code C999B** for a case commencing after mid- 
night and before 7:00 a.m. any ni^t of the week. These premiums are in addition to the E400 and E401 
premiums but apply only to the first patient treated on each special visit. 

(c) The time units are computed by allowing one unit for each 15 minutes** or part thereof of time (up to 
two hours) sjjent by the assistant. When assisting for more than two hours per case, time units for 
periods in excess of two hours are computed by allowing two units for each 15 minutes or part thereof. 
Time for purposes of these calculations includes scrub time and time spent in the operating room. If 
claims are bemg made in coded form (see explanatory commentsat front of Fee Schedule), the suffix B 
should be added to the fee code for the procedure. The basic units should be listed separately from the 
time units on the claim card. 

(d) When multiple or bilateral surgical procedures are done during the same anaesthetic, the assistant's 
benefit shall be based on the basic units for the major procedure plus time. When bilateral procedures 
or surgical revisions are carried out at separate times with separate anaesthetics, the assistant shall be 
entitled to receive a full assistant's benefit for each procedure. 

(e) In surgical procedures requiring more than one assistant, the second assistant shall compute his/her fee 
on the same basis as the first assistant. Each claim for second assistant should be accompanied by a 
statement from the operating surgeon confirming the necessity for his/her services. 

(f) When a surgeon requires an assistant at a procedure for which no assistant's fee is listed, the assistant 
may calculate his/her fee by taking the number of basic units used by the anaesthetist, adding his/her 
time units and multiplying the total number of units by the unit fee.** 

(g) When assistants at surgery claim for procedures for which no assistant's fees have actually been listed in 
the schedule, the assistants should support their claims with a statement of explanation from the sur- 
geon, confirming the medical necessity for their attendance. 

Note: Code M400B** will be used by OHIP for services performed by an assistant where no assistant units 
are listed. All such services must be assessed for appropriateness by the OHIP Medical Consultant. 

**Piease refer to page xxi for fee listing 



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995 



(h) Where the attendance of a physidan is ref|uested by the patient's other medical attendants fcM' the sole 

f)urpose of monitoring or sf>ecial supportive care, and when the physician is in constant attendance, the 
ec shall be 4 units plus time (E003B). 
(i) When an anaesthetic has begun and the operation is cancelled prior to commencement of surgery, the as- 
sistant who has scrubbed but is not required to do more, should claim 3 basic imits plus time units 
(E006BV f the operation is cancelled after surgery has commenced, the procedural basic units plus time 
units will apply. If the procedure is cancelled prior to the induction of anaesthesia and the assistant is 
scrubbed, a subsequent hospital visit only may be claimed. 

37. Aaaesthetists' Services: 

(a) The tariff is for aU types of anaesthesia. The fee is for professional sernces, including pre-anaesthetic 
evaluation and post-anaesthetic follow-up and all immediate supportive measures, and does not include 
the cost of materials used. 

(b) If an anaesthetist is requested by another physidan to see a patient in consultation (see paragraph 1(a)) 
because of the complexity, obscurity or seriousness of the case prior to the administration of an anaes- 
thetic, he may claim a consultation fee as well as the anaesthetic fee. If this consultation is provided less 
than 36 hours prior to the administration of an anaesthetic, this consultation should be daimed under 
fee code E015.** The routine pre-anaesthetic evaluation of the patient required by the Public Hospitals 
Act does not qualify as a consultation, regardless of where and when this evaluation is performed. 
Anaesthetic consultations do not apply when hospital, departmental by-laws, statutes or polides require 
automatic consultations on any patient requiring anaesthesia. 

(c) If an anaesthetist examines a patient prior to surgery and the surgery is cancelled prior to the induaion 
of anaesthesia, he or she may claim a hospital visit fee for this service. When an anaesthetic has begim 
and the operation is cancelled due to a compUcation prior to the commencement of surgery, the anaes- 
thetist should claim 4 basic units plus time (E006C). If the operation is cancelled after surgery has com- 
menced, the procedural basic fee plus time units will apply. 

(d) The anaesthetist's fees'* are determined by adding the basic and time units together and multiplying 
the sum. For a case commencing after 5:00 p.m. and before midnight or on Saturdays, Sundays and 
Holidays, increase the total anaesthetic fee oy 40% (E400C). For a case commendng after midnight and 
before 7:00 a.m., any night of the week, increase the total anaesthetic fee by 50% (E^IC). 

(e) When an anaesthetist is required to make a spedal visit to the hospital to administer an anaesthetic, he 
mav claim a spedal visit premium using code C998C*' for a case commencing after 5KK) p.m. and 
before midnight or on Saturdays, Sundays and Holidays or by using code C999C'* for a case commenc- 
ing after midnight and before 7:00 ajn. any night of the week. 

Tbese premiums are in addition to the E400 and E401 premiums but only apply to the first patient 
treatea on each spedal visit. 

(f) When an anaesthetist administers an anaesthetic to a patient under the age of ooc (E009) or ova the age 

of seventy (E007), add ooc unit to the total fee. 

(g) When an anaesthetist administers an anaesthetic to a patient with an incapadtating systemic disease 
that is a constant threat to life or to a moribund patient who is not expected to survive for 24 hours, add 
two units to the total fee (E008). A declared brain-dead patieat wlrose organs are being removed for 
donor purposes does not qualify for the premium E008. 

(h) Basic units are listed for most procedures and indude the value of all anaesthetic services except the ac- 
tual time spent administering the anaesthesia, any modifying factors, or unusual detention with the 
patient (see paragraph B37(p)). 

(i) Except during maintenance of continuous conduction anaesthesia time units aie computed b\' allowing 
one unit for each 15 minutes or part thereof of anaesthesia time (up to two hours); fouowing the first 
two hours of anaesthesia, time units for periods in excess of two hours shall be computed on the basis of 
two units for each 15 minutes or part thereof; time units for periods in excess of eight hours shall be 
computed on the basis of three units for each 15 minutes or part thereof. Anaesthesia time begins when 
the anaesthetist is first in attendance with the patient for the purpose of creating the anaesthetic state 
and ends when he/she is no longer in personal attendance (wnen the patient may be safely placed under 
customary post-operative supervision). 

(j) If claims are being made in coded form (see explanatory comments at front of Fee Schedule), the suffix 
C should be added to the fee code for the proœdure. 

(k) In special cases when the anaesthetic services of more than one anaesthetist are deemed necessary in 
the mterest of the patient, the second anaesthetist shall charge 4 basic units (EOOl) plus time units for 
the time spent assisting the first anaesthetist. 

**Ptease refer to page xxi for fee listing 



141 



996 THE ONTARIO GAZETTE O. Reg. 94/89 

PREAMBLE 

(I) When multiple or bilateral surgical procedures are done during the same anaesthetic, the anaesthetic 
beneHt shall be based upon the basic units for the major procedure plus time. When bilateral proce- 
dures or surgical revisions are carried out at separate times with separate anaesthetics, the anaesthetist 
shall be entitled to receive a full anaesthetic fee for each procedure. 

(m) In procedures where no value is listed, or with I.C, the basic portion of the calculated value will be the 
same as listed for a comparable procedure considering the region and modifying conditions or techni- 
ques. 

(n) When a pump with or without an oxygenator and with or without hypothermia is employed in conjunc- 
tion with an anaesthetic, the anaesthetic "Basic Units" will be 28 units; this replaces the listed basic units 
for the procedure. 

(o) Controlled hypotension may be billed for (10 units) when it is carried out in association with anaesthesia 
using any technique to deliberately lower and maintain the mean blood pressure by at least 25%. In- 
cidental hypotension from the use of any anaesthetic agent does not constitute controlled hypotension. 
The additional 10 units may be claimed under E004C. 

(p) When unusual detention with the patient before or after anaesthesia is essential for the safety and wel- 
fare of such patient, the necessary time will be vjilued on the same basis as indicated for the anaesthetic 
time. 

(q) For detention not associated with anaesthesia, detention rates and criteria apply (see paragraph B.45). 

(r) When the attendance of the anaesthetist is requested by the patient's other medical attendants for the 
purpose of monitoring or special supportive care, and when the anaesthetist is in constant attendance, 
the benefit shall be 4 units plus time. The code is E003C. 

(s) Introduction of a catheter for continuous conduction analgesia and anaesthesia in obstetrics has a basic 
value of 6 units. Maintenance and/or supervision may be claimed at one unit for each half hour of main- 
tenance to a maximum of S units. Time units for delivery may be claimed at one unit per quarter hour 
(ElOOC). 

(t) When a physician administers an anaesthetic and/or other medication prior to, or during a procedure(s) 
or immediately after a procedure which he/she performs on the same patient, he/she should claim for 
the procedure(s) only. However, when a physician administers a pudendal, femoral, intercostal, sciatic, 
ilioinguinal, iliohypogastric, ulnar, median, or radial block in addition to performing a procedure, he/she 
may claim G224 in addition to the procedure.** 

(u) When hypothermia is used by the anaesthetist in procedures not speciHcally identified as requiring 
hypothermia, the basic value is 25 units. This basic value replaces the basic value listed in the Schedule 
for the procedure. When the basic value claimed is 25 units, the anaesthetic service may be claimed 
under code E002C. 

(v) When a patient is known to have malignant hyperthermia or there is a strong suspicion of susceptibility, 
and the anaesthetic requires full malignant hyperthermia set up and management, add 5 units to the 
anaesthetic claim (E012). This add-on does not apply to Z245 listed under "Integumentary System, In- 
cision - Skin and Subcutaneous Tissue..." 

(w) Anaesthetic management for the emergency relief of acute upper airway (above the carina) obstruction 
(excluding choanal atresia) - basic 10 units (E013). 

(x) When one anaesthetist starts a procedure and is replaced by another part way through a surgical proce- 
dure or delivery, the first anaesthetist should charge the appropriate basic fee plus time units and the 
second anaesthetist should charge for time units only. The second anaesthetist should use code E005C 
for such time units except in the case of continuous conduction anaesthesia for which P015 (plus 
ElOOC) applies (see paragraph 37[s]). E002C, E003C, E004C, E005C qualify for the premiums E400C 
or E401C only if the case originally started within the time stated under paragraph 37(d) above. 
Each anaesthetist should state on his/her claim card which part of the anaesthetic is being claimed and 
the time begun and completed. 

(y) General anaesthesia for the purposes of this Fee Schedule includes all forms of anaesthesia except local 
infiltration. 

(z) Maintenance/Sujjervision of epidural catheter for relief of pain (G247) see "Nerve Blocks, Diagnostic 
and Therapeutic Procedures". For visits rendered after 5 p.m. and before midnight or on Saturdays, Sun- 
days and Holidays add 40% (E402). For visits after midnight but before 7 a.m. add 50% (E403). 

38. General Listings: include the basic listing for consultations, assessments and other visits wherever they are 
rendered, except for non-emergency services to hospital or long-term care institution in-patients and for care 
rendered by a physician on duty in the emergency department. These latter services are hsted separately in the 
Schedule. 

** Please refer to page xxi for fee listing 



142 



O. Reg. 94/89 THE ONTARIO GAZETTE 997 

PREAMBLE 

39. NoD-EmergeDcy Hospital In-patient Services: include the fee listings for consultations and other visits 

rendered to registered bed patients on a non-emergency basis. 

(a) When a patient has not been seen previously by the physician in charge, the first visit after admission 
may be claimed as a consultation or general or s[>ecinc assessment. When the patient has been pre- 
viously attended before admission, the first visit after admission may be claimed as a general re-assess- 
ment or specific re-assessment (depending on the specialty) if the patient has been seen before in the 
same illness. However, when a patient is adnùtted to hospital by one physician and is subsequently 
transferred to another physician, only one general or specific assessment or re-assessment may be 
claimed per patient admission. 

(b) Subsequent routine visits should be claimed as subsequent visits (minor assessments). Payments for 
hospital visits are usually limited to one per patient per day prior to the weekly and monthly limitations 
that apply after the patient has been hospitalized for 5 weeks (6 weeks for paediatricians). However, it 
is not the intent of the Fee Schedule that visit fees be claimed for every day a patient is in hospital un- 
less a physician actually visits the patient each day. For acute illnesses or exacerbation of origmal illness 
requiring hospital visits after S weeks of hospitalization, claims for extra visits should be made on an In- 
dependent Consideration basis (C121). 

(c) When a patient in hospital is referred by one physician to another, the second physician should not be 
limited by the 'Subsequent Hospital Visit" formula for the number of hospital visits already rendered 
by the first physician. In other words, the second physician is entitled to claim for his/her visits up to 5 
weeks just as if the patient was being attended to in hospital for the first time. If the patient is trans- 
ferred to the care of another physician, the 'Subsequent Hospital Visit" formula would apply just as it 
would if only one physician was involved in the care. 

(d) When a physician is already in the hospital and is asked to assess one of his/her own in-patients on a 
non emergency or emergency basis, the subsequent hospital visit listings apply. However, if he/she is 
asked to assess another physician's patient on an emergency basis, the General Listings apply. 

40. Emergency Department • Physician on Duty Services: include the fee listings for minor and multiple systems 
assessments and re-assessments during regular and premium hours rendered by the phvsician on duty. Any 
physician on duty in the emergency department should claim these fees regardless of his/her specialty. 

The listings under the heading 'Emergency Department - Physician on Duty are meant to apply to those 
circumstances wherein either emergency or other physicians have elected or are required to be physically and 
continuously present in the Emergency Department or environs for an arranged designated penoa of time. In 
addition to applying to full or part time emergency room physicians who work pre-arranged shifts, these listings 
also apply to tne services rendered by physicians who provide on-call emergency room coverage for designated 
periods of time and limit the services they provide, in the community served by the hospital, predominantly to 
emergency room coverage. When special visits are rendered by such physicians, A ana K ciodes may be charged 
for the first patient seen: 

(a) for up to a maximum of two special visits after 8:00 a.m. and up to SKX) p.m.; 

(b) for up to a maximum of three special visits after 5KX) p.m. and up to midnight; 

(c) for the number of special visits rendered after midni^t and up to 8:00 a.m. 

When an on call physician practising in the area is detained in the Emergency Department or environs 
becatise the volume of patients reauires it (e.g. during a busy holiday period) the fees under Emergency 
Department - Physician on Duty (HlOl, H103, H104, etc.) snould be charged after the patient responsible 
for the initial special visit has been examined and/or treated (and claimed for under the A and K codes). 

When an emergency physician is required to make a special visit to the Emergency Department which is 
not in coigunction with his/her regular arranged designated period of time on duty, he/she may charge the 
appropriate fee under the General Listings plus the applicable special visit premium for the first patient 
assessed; all subsequent patients assessed during this visit to the hospital should be claimed under the 
Emergency Department - Physician on Duty listings. 



143 



998 THE ONTARIO GAZETTE O. Reg. 94/89 

PREAMBLE 

When a physician is on duty in the Emergency Department, sees a patient and admits the patient to hospi- 
tal, this physician may claim a minor or multiple systems assessment depending on the service initially 
provided. Either the patient's attending physician or the emergency department physician (but not both) 
may render and claim the hospital admission assessment. If the emergencv department physician (instead 
of the attending physician) provides the admission general assessment, he/she may claim a general re-assess- 
ment (C004) as weU as the mitial assessment provided both services are actually rendered separately. 

Special Visit to Emergency or O.P.D. 
Consultation: 

1. Consultation, patient not admitted: 

The benefit for the consultation (or repeat consultation) plus the appropriate special visit surcharge 
(K99-) may be claimed. 

2. Consultation, patient admitted: 

(a) The benefît for the consultation (or repeat consultation) plus the appropriate special visit surcharge 
(K99-) followed by hospital visits (if rendered) may be claimed. However, if the consultant also is the 
"most responsible physician", he/she may not also claim a hospital in-patient consultation, repeat 
consultation, general or specific assessment, general or specific re-assessment since the initial 
consultation rendered in the emergency department serves as the admission assessment. 

(b) If the consultant is not also the most responsible physician, the latter may claim the appropriate 
admission assessment. 

Assessment: 

1. Assessment, patient not admitted: 

The benefit for the assessment (or re-assessment) plus the appropriate special visit surcharge (K99-) may 
be claimed. 

2. General/specific assessment plus patient admission: 

The benefit for the general or specific assessment plus the appropriate special visit surcharge (K99-) fol- 
lowed by hospital visits may be claimed. However, the admittmg physician may not also claim a hospital 
in-patient general/specific assessment or re-assessment since the mitial general/specific assessment 
rendered in the emergency department serves as the admission. 

3. Minor/intermediate assessment plus patient admission - 

The benefit for the minor or intermediate assessment plus the appropriate special visit surcharge (K99-) 
may be claimed. In addition, the admitting physician may claim for a hospital in-patient general or 
:>pecific re-assessment if rendered. 

4. No other premiums may be claimed. 
Procedure: 

Except for procedures for which the listed benefits specifically include the associated consultation or other 
assessment, claims may be made for both the procedure and the assessment. 
Note: If a physician has an office in the hospital and is called to assess a patient in the Emergency 
Department or O.P.D., the special visit premiums do not apply. 
41. Emergency Department Equivalent: 

An Emergency Department Equivalent is an office or other place (other than a hospital emergency 

department) in which a physician renders services as pjui of an emergency service being made available to the 

community. 

"Emergencjf Department Equivsdent" includes a place used by a physician to render services exclusively to the 

office practice patients of one or more physicians outside the office hours of those physicians if the place is 

open for patients to attend. 

A place is an Emergency Department Equivalent only during the period of time that the emergency service is 

being made available. 



144 



O. Reg. 94/89 THE ONTARIO GAZETTE 999 

PREAMBLE 

A place may be an Emergency Department Equivalent notwithstanding that the physicians rendering services 
therein are not continuously present and only attend on calL 

A physician may add a premium of 30% (E030) to the appropriate General listings aad psjickotherapy for 
services provided in an Emergency Department Equivalent if - 

1) the services were rendered on a Saturday, Sunday or Holiday ("Holiday" is defined in paragraph B.43(c) 
below); 

2) the services were rendered on the day they were first requested; and, 

3) the services were rendered for the purpose of dealing with an emergency. 

42. Loog-Temi iBstitutioaal Care: See paragraph B. 14. 
Premiums: 

43. Special Visit Fees Applicable in Addition to Fees for Services Listed Under 'Coasaltatioos and Visits', also 
'Diagnostic and Therapeutic Procedures, Critical Care, also Injections or Infusions*. 

(a) A special visit is one initiated by a patient or his/her representative where the physician is required to 
travel from one location to another to see the patient. Subject to paragraphs (b) to (q), the appropriate 
special visit fee applies when a physician makes a special visit to his office outside of normal office 
hours, even if the office is in the physician's home, or to the patient's home or other location (hotel, 
motel, roadside, ski slope, etc.), or to the Emergency Department, O.P.D., hospital or long-term care 
institution from a location outside any premises of, or operated by or on behalf of, the hospital or in- 
stitution. 

(b) A special visit may also involve an emergency call with sacrifice of office hours. The benefits for this 
type of special visit apply in a situation where the demands of the patient and/or the physician's inter- 
pretation of the patient's condition is such that the physician responds immediately and makes a special 
visit at the sacrifice of regular office hours. 

(c) A special visit at night or on a Saturday, Sunday or Holiday may be claimed when non-elective or 
emergent calls are made by the physician between 5:00 p.m. and 7:00 a.m. or are received and made on 
Saturdays, Sundays and Holidays. Holidays are defined for the purpose of this Schedule as New Year's 
Day, Good Friday, Easter Monday, Victoria Day, Canada Day, Civic Holiday, Labour Day, Thanksgiv- 
ing, Remembrance Day, Christmas Day and Boxing Day. If any of these holidays fall on a Saturday or 
Sunday, the Friday before or Monday following will be recognized as the holiday. 

(d) Only one special visit (daytime; emergency call with sacrifice of office hours; or Nights, Saturdays, Sun- 
days and Holidays) may be claimed for the same patient, same visit. Special visits only apply to non- 
elective or emergent calls and do not apply to non-referred or transferred obstetrics. Special visits do 
not apply to visits on rounds to registered bed patients nor do they apply to admission assessments of 
patients who have been admitted to hospital on an elective basis, regardless of the time performed. 

(e) An elective 'home' visit is a visit to a patient's 'home' deemed medically necessary by the physician, in- 
itiated by the physician or the patient and carried out at any time convenient to the physician. 
Physicians providing such services should charge in addition to the appropriate fee under the heading 
General Listings, the premiums under paragraph 43(i) only, even if the elective visits are rendered at 
Night, on Saturdays, Sundays and Holidays. 

If an institution has arranged to have quarters in the same or in a proximal building in order that a 
physician will be available to make visits to the institution, particularly at night, these are not con- 
sidered to be 'special visits' to the institution. If a physician is called to pronounce a patient dead, a 
minor assessment may be claimed along with the appropriate surcharge for the special visit. 

(f) When additional patients are assessed during special visits, the 'additional patient' premiums are not 
normally applicable unless the additional patient himself qualifies for a special visit. However, extra 
patients seen during a home visit while the physician is there rendering a special visit to another patient 
also qualify for the 'additional patient" premiums if an assessment is rendered. The m2iximum number 
of special visit premiums per special visit (to any location) is ten. Patients who drop in to the office 
while the physician is there for reasons other than rendering a special visit do not qualify for any of the 
special visit premiums. Extra in-patients seen during a special visit to a hospital or other institution do 
not qualify for the 'additional patient' premiums unless the physician has been asked specificaUy to see 
these extra patients as well. 

Note: Patients seen during 'office hours' held at night or on Saturday, Sunday or Holidays do not qualify for 
any of tlic special visit premiums. 



145 



1000 THE ONTARIO GAZETTE O. Reg. 94/89 

PREAMBLE 

(g) No special visit fee is chargeable in respect of services rendered in a place, other than a hospital or long 

term care facility, that is open for patients to attend, 
(h) When no consultation or visits may be claimed e.g. for post-op hospital visits by operating surgeon, the 

minimum premiums for special visits apply for additional patients seen during a special visit. Minimum 

premiums also apply to additional patients seen requiring Critical Care (excluding services to a critical- 
ly ill patient where team fees apply). Injections or Infusions, 
(i) Daytime Special Visits (Monday to Friday) to Emergency Department or O.P.D.: 

for other locations see below. 

K990 First patient seen add $15.80 

For each additional patient requiring a special visit and seen during same 

K991 special visit, add 30% to consuhation or visit - minimum add $9.00 

(j) Emergency Call with Sacrifice of Office hours: 

K992 First patient seen add $31.60 

For each additional patient requiring a special visit and seen during same 

K993 special visit, add 30% to consultation or visit fee - minim um add $13.50 

(k) Evenings (5:00 p.m. to midnight) and Saturdays, Sundays, Holidays: 

K994 First patient seen add $31.60 

For each additional patient requiring a special visit and seen during same 

K995 special visit, add 30% to consultation or visit - minimum add $13.50 

(1) Nights (midnight to 7:00 a.m.): 

K9% First patient seen ....add $47.45 

For each additional patient requiring a special visit and seen during same 

K997 special visit, add 50% to consultation or visit - minimum add $20.80 

(m) Special Visit to the Patient's Home or Equivalent: use the appropriate listing above (i, j, k, I) 

but substitute the prefix "B" for "K" (e.g. B990 instead of K990). 
(n) Special Visit to Hospital In-Patient: use the appropriate listing above (i, j, k, 1) but substitute 

the prefix "C" for "K" (e.g. C990 instead of K990). 
(o) Special Visit to Long-Term Care Institution: use the appropriate listing above (i, j, k, 1) but 

substitute the prefix "W for "K" (e.g. W990 instead of K990). 
(p) Special Visit to Office or Other Similar Facility: use the appropriate listing above (i, k, 1) but 

substitute the prefix "A" for "K" (e.g. A990 instead of K990). 
(q) Special Visit to any non-professional setting not listed above: use the appropriate listing above 

(i, j, k, 1) but substitute the prefix "Q" for "K" (e.g. Q990 instead of K990). 

44. Special Care Unit (e^. I.C.U. or C.C.U.): For each patient seen on visit to I.C.U. or C.C.U. (excluding 
supportive, and critical care, and also ventilatory, comprehensive and neonatal intensive care which is 
claimed on a per diem basis) 

ClOl, to all such hospital visits add $7.70 

Note: Where a visit is not chargeable, e.g. post operative care by surgeon, claim only ClOl (excluding 
Supportive Care, Critical, Comprehensive, Ventilatory Care and Neonatal Intensive Care) 

45. Detention: may be charged when a physician is required to spend considerable extra time in active 
treatment of the patient (and to the exclusion of all other work). Claims for detention must be 
substantiated by an explanation on the claim card or in an accompanying letter, and should be made 
on an "I.C basis according to the following guidelines: 

After 30 minutes if the physician spends more than this amount of time providing a minor, partial, 

multiple systems or intermediate assessment or subsequent hospital visit; 

After 40 minutes if the physician spends more than this amount of time providing a specific or 

general re-assessment; 

After 1 hour if the physician spends more than this amount of time providing a consultation, 

repeat consultation, specific or general assessment. 

Detention is not meant to apply to procedural items or obstetrics and does not include time waiting for 
x-rays, lab reports or for the operatmg room. 

KOOl Detention - Per full quarter hour $19.10 



146 



O. Reg. 94/89 THE ONfTARIO GAZETTE 1001 

PREAMBLE 

46. Dcteotioa: While in Attendance With Patient(s) in Ambulance: 

KlOl - Per quarter hour or part thereof $37.70 

Note: KlOl is not applicable to attendance in a vehicle other than an Ambulance. 

Note Claims for detention will be assessed by an OHIP Medical Consultant. 

47. Non Elective Surgical Procedures, Obstetrics or Clinical Procedures Associated with Diagnostic 
Radiological Examination or Detention While in Attendance With Patient(s) in Ambulance: - when such 
procedures, including fractures or dislocations or major invasive procedures contained in the list of Diagnostic 
and Therapeutic Procedures or elective procedures which because of intervening surgical emergency 
proccdure(s), commence after 5:00 p.m. and before midnight or on Saturdays, Sundays and Houidays, increase 
the procedural fee(s) by 30% (E409). When the foregoing procedures commence after midnight and before 
7.00 a.m. any night during the week, increase the procedural fee(s) by 50% (E410). 

These premiums are not chargeable in addition to the obstetrical fee(s) if labour is induced by medical and/or 
surgical means by the same physician unless the reason for the induction is foetal distress, diabetes, premature 
rupture of membrane, severe pre-eclampsia - hypertension or abruption. However a forewater A.R.M. or 
oxytocin augmentation of labour carried out on a patient in desultory labour does not constitute induction. 

M^jor Invasive Procedures are considered to be the following: 



G099 


G125 


G176 


G177 


G178 


G 179 


G211 


G246 


G249 


G261 


G268 


G275 


G277 


G280 


G288 


G303 


G304 


G323 


G324 


G330 


G331 


G332 


G347 


G348 


G349 


G356 


G360 


G380 


G411 


G412 



Also series JOOl to J060 

These premiums are not chargeable (during or after a 'shift' or by a physician who provides service(s) as 
described in this Preamble, paragraph B.40) by emergency or other physicians who have elected or are required 
to be physically and continuously present in the Emergency Department or environs for an arranged designated 
period of time. 

E409 or E410 may not be claimed for procedures which mainly involve the interpretation of test results and are 
not applicable to assessments or consultations. Neither are they appUcable to procedures listed in the 
Diagnostic Radiology, Nuclear Medicine, Diagnostic Ultrasound or Pulmonaiy Function sections of the 
Schedule. 

48. Non Elective Diagnostic Radiology and Therapeutic Procedures, including Laboratory Medicine, Nuclear 
Medicine, Radiation Oncology, Diagnostic Radiology, Clinical Procedures associated with Diagnostic 
Radiology Examinations, Magnetic Resonance Imaging. Diagnostic Ultrasound and Pulmonary Function 
Studies: - when a physician providing the foregoing services makes a special visit to the hospital to interpret the 
results of a diagnostic service, perform a procedure, sec a patient in consultation or conclude that a procedure 
is not medically indicated, between 5:00 p.m. to midnight or on Saturdays, Sundays and Hohdays, a premium 
code (C109)** should be claimed in addition to the appropriate consultation, interpretation or procedural fee 
or by itself lif the decision is made not to perform the procedure. For such services rendered between midnight 
and 7:00 a.m., the premium code is (CllO).** 

49. Anaesthetists' Services: - for a case commencing after 5:00 p.m. and before midnight or on Saturdays, 
Sundays and Holidays, increase the total anaesthetic fee by 40% (E400C). For a case commencing after 
midnight and before 7:00 a.m., any night during the week, mcrease the total anaesthetic fee by 50% (E401C). 
For a case requiring a special visit to the hospital, an additional premium may be claimed (C998C)** during the 
40% premium period or for non-elective surgery with sacrifice of office hours and (C999C)** during the 50% 
premium period may be claimed for the first patient treated on each special visit. 

** Please refer to page xxi for fee listing 



147 



1002 THE ONTARIO GAZETTE O. Reg. 94/89 

PREAMBLE 

50. Assistants' Services: - for a case commencing after 5:00p.m. and before midnight or on Saturdays, Sundays 
and Holidays, increase the total assistant's fee by 40% (E400B). For a case commencing after midnight and 
before 7:00 a.m., any night during the week, increase the total assistant's fee by 50% (E401B). For a case 
requiring a special visit to the hospital, an additional premium may be claimea (C998B)** during the 40% 
premium period or for non-elective surgery with sacrifice of office hours and (C999B)** during the 50% 
premium period may be claimed for the first patient treated on each special visit. 

51. Travelling Time: may be charged directly to patients (since it is a non-insured service) when special visits are 
made by physicians to see patients outside their normal area of practice. Travelling time may be charged at the 
same rate as detention. 

52. A Locum Tenens 

(a) Must replace the employing physician, who must be absent from the practice. 

(b) Must replace the employing physician for a continuous period, up to a maximum of 12 weeks, with an 
extension on request for a further 6 weeks. 

(c) Must be the same specialty as the employing physician. 

(d) Must be licensed by the College of Physicians and Surgeons of Ontario in a category of licence that 
allows him or her to practice independently without supervision. 

Prior notification must be given to OHIP of the name and OHIP physician number and/or licence number of 
the locum tenens and the exact dates of employment, together with an authorization from the locum tenens to 
make payment for his or her services to the employer. 

If these conditions are met, the locum tenens may sign the employing physician's claim cards. 

If any of the above conditions are not met, the physician involved must submit claims to OHIP on his or 

her own claim cards. 



** Please refer to page xxi for fee listing 



148 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

PREAMBLE 



1003 



Fees for Services Listed in Preamble Paragraphs 



Code 



AOOg 
A935 
C109 
Clio 
C882 
C982 

C998B 

C998C 

C999B 

C999C 

E015 

G224 

H055 

H065 

W121 

W872 

W882 

W972 

W982 



Anaesthetists lime Units Basic Fee paragraph B37(d). 
Assistants Services paragraph B36(a) - basic unit fee. 
Mini Assessment paragraph B.IO.. 



Special Surgical Consultation paragra|^ B.l(n). 
Non elective Diagnostic Procedures contra-indicated paragraph B.48 ... 
Non elective IMagnostic Procedures contra-indicated paragraph B.48. 
Terminal care, general/family practice, hospital visits paragraph B31. 

Terminal care, sf>ecialists, hospital visits paragraph B31 

Assistants Special visit premium 5:00 pjn. - 12:00 midnight Saturdays, Sundays and 

Hobdays, paragraph B J6(b) 

Anaesthetists Special Visit premium 5M pan. - IZ'OO jnidnight Saturdays, Sundays and 

Holidays, paragraph B37(e) „ 

Assistants Special visit 12.-00 midnight to 7KX) ajn. paragraph B36(b) 

Anaesthetists Special Visit premium 12:00 midnight - 7:00 a-m. paragraph B37(c) 

Anaesthetists services consultation 36 hours prior to surgery paragraph B37(d) 

Nerve Block see paragraph B37(s) 

Consultation Specialist in Emergency Medicine (FRCP) paragraph B.l(o) 

Consultation in Emergency Medicine (all others) paragraph B.l(o) 

Subsequent visits LTIC I.C. for extra visits - paragraph B.15 

Terminal care, general/family practice, homes for the aged, paragraph B31 „ 

Terminal care, general/family practice, nursing homes paragraph B31 

Terminal care, specialists, homes for the aged, paragraph B31 „ 

Terminal care, specialists, nursing home visits paragraph B31 



10.74 

933 

7.40 

102.45 

31.60 

47.45 

15.10 

16.70 

31.60 

31.60 
47.45 
47.45 
67.50 
13.90 
7130 
39.70 
15.10 
15.10 
15.10 
16.70 
16.70 



xiii 
xii 
viii 
vii 
xix 
m 
» 
xi 

xii,xx 

xiii,xix 

xii,xx 

xiii,xix 

xiii 

xiv 

vii 

vii 

ix 

xi 

xi 



149 



1004 THE ONTARIO GAZETTE O. Reg. 94/89 

PREAMBLE 



APPENDIX C 



BENEFITS OUTSIDE ONTARIO 

Under Code R991 payment will be made at the usual and customary fee paid by insurers in the place v/bcTC the 
service was rendered, provided that all of the foUowing conditions are met: 

1) the insured service is a surgical or other complex medical procedure; 

2) the procedure is generally accepted within Ontario as medical treatment for the insured person's condi- 
tion; 

3) the procedure is not performed in Ontario; 

4) the insured person is referred by a physician in Ontario to the physician outside Ontario who vnii per- 
form the procedure; 

5) the insured person departs from Ontario for the express purpose of having the procedure performed; 

6) prior written approval has been obtained from the Plan. 



INTERPROVINCIAL RECIPROCAL BILLING OF MEDICAL CLAIMS 

On April 1, 1988, a reciprocal billing arrangement for physicians' medical claims came into effect between 
Ontario and all provinces and territories except Quebec. 

The arrangement allows Ontario physicians who voluntarily participate to bill OHIP directly for services 
rendered to eligible Canadian residents other than residents covered by the Quebec Plan. 

Participating physicians will receive payment at the OHIP Schedule of Benefits rates and must accept the 
Plan payment as payment in full. The agreement includes services rendered by private medical laboratories 
and private diagnostic facilities but does not include diagnostic services rendered in a hospital setting. (See 
OHIP Bulletin #4210). 

Physicians who do not wish to participate, or who are imable to obtain proof of provincial health coverage, 
must deal with the patient directly issuing an itemized letterhead accoimt or using the Standard Out-of- 
Province Claim Form. 

A new claim form is available from OHIP District Offices for participants in the interprovincial reciprocal 
medical biUing system. 

Further details were included in the Information Kit mailed in March, 1988 or can be obtained from any 
OHIP office. 



150 



O. Reg. 94/89 THE ONTARIO GAZETTE 1005 

PREAMBLE 

APPENDIX D 

1. Surgery to alleviate significant physical symptoms that arc refractory to medical treatment that has been ac- 
tively undertaken for at least a six month period, or to restore or improve function to any area altered by dis- 
ease, trauma or congenital deformity normally is a benefit under the Ontario Health Insurance Plan. Ser- 
vices coonected with surgery solely to alter or restore appearance is not a benefit of OHIP except under the 
circumstances as listed in the following policy. 

2. Emotional, psychological or psychiatric grounds arc not considered sufficient reason for OHIP coverage of 
surgery for alteration of appearance except under exceptional circumstances. 

3. On request of the attending physician, exceptions may be made on an independent consideration basis if the 

f>roposed surgery is to alter a significant defect in appearance caused by disease, trauma or congenital de- 
ormity, and if the surgery is 

- recommended by a Mental Health Facility (as designated by The Mental Hospitals Act) or eauivalent, or 

- performed on a patient who is less than 18 years of age and the defect is in the area of the body which nor- 
mally and usually would not be clothed, or 

- recommended by a Correctional Institution (tattoo removal only), or 

- essential in order to obtain employment as documented by the anending physician and either by a Canada 
Manpower Employment Centre or by an employer with regard to a sp&ofic job, (tattoo removal only). 

4. In establishing this policy, it has been recognized that 

- peer acceptance m our society often is influenced disproportionately by the faciès, 

- children are especially susceptible to emotional trauma caused by physical appearances. 

5. Surgery to revise or remove features of physical appearance which are familial in nature is not a benefit of 
OHIP. 

6. Within the context of this policy, the word 'disease* does not include the normal sequelae of aging. Surgery 
to alter changes in appearances caused by aging is not a benefit of OHIP. 

7. Within the context oif this policy, the word 'trauma* includes traimia due to treatment such as surgery, radia- 
tion, etc. 

8. The phrase *reasonable period of convalescence* should be considered as two years. Independent con- 
sideration will be given to the questionable cases. 

9. Prior authorization from OHIP is not required for all surgery to alter ap[>earance. It is required only for 
those categories of procedures in which some cases may not be a benefit imder OHIP policy. 

10. Suitable documentation may be requested by OHIP in some cases before prior authorization can be con- 
sidered. 

11. The treatment of acute medical or surgical complications resulting from surgery for alteration of ap- 
pearance and/or function is a benefit ofthe Plan whether or not the original surgery was covered 

by OHIP. No prior authorization is required. 

12. Revision of surgery for alteration of appearance, because of undesirable results, is a benefit of the Plan if 
the original surgery was a benefit and if the revision either is part of a pre-planned staged process or occurs 
within a reasonable period of convalescence. Prior OHIP authorization is required only when the original 
surgical procedure, if it had been carried out at the time of the proposed revision, would have required such 
authorization. 

Sarfact Pathology 

1. Trauma Scars 

(a) Neck or Face 

- Includes ears and non-hair bearing areas of the scalp. 

- Repair of all such scars is a benefit of OHIP, except for scars resulting from previous surgery to alter 
appearance that was not originally a benefit of OHIP. 

- Repair procedures will depend upon the lesion but may include excision, revision, dermabrasion, etc. 
Rhytidectomy procedures for cosmetic reasons, however, are not a benefit of OHIP. 

- Prior OHIP authorization for repair of such scars is not required but manual assessment of the claims 
will be necessary to ensure that the most appropriate procedure codes are used. 

(b) Scars in other Anatomical Areas 

- Repair of scars which interfere with function or which are significantly symptomatic (pain, ulceration, 
etc) is a benefit of OHIP. 



151 



1006 THE ONTARIO GAZETTE O. Reg. 94/89 

PREAMBLE 



APPENDIX D • Cont'd 



Surface Pathology • Cont'd 



- Scars with no significant symptoms or functional interference 

(i) Repair is a benefit if such a repair is part of a pre-planned post -traumatic (including post-surgi- 
cal) staged process. OHIP notification must be included as part of the planning process, 
(ii) Other post-traumatic scar revision is not a benefit of OHIP. 

• Prior OHIP authorization is required for all scar repair procedures in areas other than the face or neck. 

Scar revision codes should be used (R026-R029). 

2. Keloids 

(a) Head or Neck 

- The repair of all such keloids is a benefit of OHIP. 

• Repair procedures may include excision, injection, dermabrasion or planing. 

- No prior OHIP authorization is required. 

(b) Excision of keloids in other areas 

- Not a benefit of OHIP unless significantly symptomatic (pain, ulceration, etc.) or there is functional im- 

pairment. 

- Prior OHIP authorization is required. 

3. Tattoos 

(a) Face or Neck 

- Excision or destruction of all such tattoos is a benefit of OHIP. 

- Prior authorization is not required but adjudication of repair procedures will be identical to that for 
scars in these areas. 

(b) Other Anatomical Areas 

- Excision or destruction of concentration camp or P.O.W. tattoos is a benefit of OHIP. Otherwise, not 
a benefit of OHIP except as described in Paragraph 3 of this Appendix. 

4. Benign lesions such as naevi, keratoses, spider naevi, papiilomata, neuronbromata 

(a) Face or Neck 

- Excision or destruction of these lesions is a beneHt of OHIP, where there is any suspicion of disease or 
malignancy. 

- Prior authorization is not required. 

(b) Other Anatomical Areas 

- Normally not a benefit of OHIP if removed for alteration of appearance only, rather than for medical 
necessity or because of clinical suspicion or evidence of malignancy. 

- Removal of very large lesions that would be considered disfiguring in patients of any age may be a benefit 

of OHIP. 

- Prior authorization is required. 

5. Hair Loss 

(a) Head or Neck 

(i) Patients less than 18 years of age 

- Repair is a benefit for non-hereditary etiologies. 

- Prior authorization is not required. However, if it is possible that a planned staged procedure will ex- 
tend beyond the age limit, pre-authorization should be obtained, since it will be necessary after the 18th 
birthday. 



152 



O. Reg. 94/89 THE ONTARIO GAZETTE 1007 

PREAMBLE 



APPENDIX D-Cwrt'i 



Snr&ce Pathoiogy - Coot'd 



(ii) Post-traumatic 

• Repair to the area of traumatic hair loss is a benefit of OHIP only if carried oat within a reasonabic 
period of coavalescence. (See Paragraph 8 of this Appendix). 

- Prior OHIP authorization is required. 

• Usual repair procedures may include skin shifts or flaps, skin grafts, or hair phigs. 
(iii) Other Etiology 

- Not a benefit of OHIP. 
(b) Other Anatomical Areas 

- Not a benefit of OHIP. 

6. EpUatkMoTHair 

(a) Face 

- This procedure is a benefit of OHIP only for those patients with documented endocrine abnormality or 

drug-induced hirsutism. 

(b) Prior OHIP authorization is required. 

(c) Other Anatomical Areas - Not a benefit of OHIP. 

7. Redondant Skin 

(a) Excision of redundant skin for elimination of wrinkles, etc. is not a benefit of OHIP. 

(b) Blepharoplasty is not a benefit of OHIP unless there is docimiented evidence of medical necessity from 
the appropriate physician such as visual field defect caused by the redundant eyelid skin. Prior OHIP 
authorization is required. (Include documentation of visual fields). 

Sub-snrface Pathology 

1. Congenital deformities 

(a) Head or Neck 

Repair is a benefit of OHIP except for 

- surgery to revise or remove features which are familial in nature or do not interfere with function 

- surgery to correct 'outstanding ears* in patients who are eighteen years of age or over. 

- Prior OHIP authorization is required. 

(b) Other Anatomical Areas 

- Normally not a benefit of OHIP if surgery is for alteration of appearance only. 

2. Post-Traumatic Deformities 

- Reconstructive procedures are a benefit at the acute stage; within two years, or if part of a pre-planned 
staged process of repair. 

• Repair of procedures may include bone revision, tissue shifts and grafts, prosthesis implantation, etc 

- Prior OHIP authorization is required for repairs beyond the acute stage. 

3. Deformities resulting from local disease (such as loss or distortion of bone, muscic, connective tissue, adipose 

tissue, etc.) 
(a) Head or Neck 

- Reconstructive procedures for significant abnormalities are a benefit at the acute stage, during a chronic 

disease process: within a reasonable period of convalescence (see Paragraph 8 of this Appendix) or if 
part of a planned staged process of repair initiated during one of these periods. 



153 



1008 THE ONTARIO GAZETTE O. Reg. 94/89 

PREAMBLE 

APPENDIX D • Cont'd 
Sub-surfiMx Pathology • Cont'd 

- Repair procedures normally could include tissue grafts, flaps or shifts, bone revision, prosthesis inser- 
tion, etc. 

- Face lifts, modified face lifts, brow lifts, etc., are not a benefit of the Plan if skin only is involved in the 
procedure. However, a repair such as ptosis repair or face lift with underlying slm^ is a benefit of 
OHIP if the procedure is to correct significant deformity following stroke, cancer, V^Ith nerve palsy, 
etc. 

- Prior OHIP authorization is required, 
(b) Other Anatomical Areas 

- Not a benefit of OHIP if the correction is for appearance only. 

- Correction of severe deformitjr resulting from polio or neurological disease will be considered for pay- 
ment - Prior OHIP authorization is required. 

4. Breast Surgery 

(a) Augmentation Mammoplasty 

- This procedure is a benefit of OHIP unilaterally or bilaterally for a female patient with breast aplasia. 

- It may be an OHIP benefit unilaterally for a female patient with a severely hypoplastic breast. Addition- 

al documentation may be required. 

- Unilateral augmentation mammoplasty may be a benefit of the Plan if there is gross disproportion present 

or in association with an approved imilateral reduction mammoplasty or postmastectomy reconstruc- 
tion of the contralateral breast. 

- The correct code for the repair procedure is R112 

- Prior OHIP authorization is required. 

(b) Post-Mastectomy Reconstruction 

- Unilateral or bilateral breast reconstruction is a benefit of OHIP when the procedure is subsequent to 

total or partial mastectomy (including wedge resection) or prophylactic mastectomy as listed in the 
Schedule of Benefits. 

- Prior OHIP authorization is not required. 

(c) Reduction Mammoplasty 

- Reduction Mammoplasty may be approved where there is significant associated symptomatology. Ptosis 

and/or size are not sufficient grounds for OHIP coverage of reduction mammoplasty. 

- Unilateral Reduction Mammoplasty may be a benefit of the Plan if there is gross disproportion present 

or in association with approved unilateral augmentation mammoplasty, or post mastectomy 
Reconstruction of the contralateral breast. Additional documentation may be required. 

- Prior OHIP authorization is required. 

(d) Mastectomy 

- This procedure is a benefit of the Plan. 

- Prior OHIP authorization is not required. 

(e) Accessory Breasts or Accessory Nipples 

- Excision of such accessory tissue is a benefit of the Plan. 

- The appropriate code should be used from the Schedule listings under Skin and Subcutaneous tissue. 

- Prior OHIP authorization is not required 

5. Septorhinoplasty 

- This is a benefit of OHIP when the rhinoplasty component is necessary to obtain an adequate airway 
or following trauma within 2 years or part of a pre-planned staged plastic repair. (See Paragraph 8 of 
this Appendix). 

- In c<ises where a septoplasty is necessary to improve function and a rhinoplasty is done to improve the 
cosmetic effect, OHIP will pay the part of the operation that was medically necessary (e.g. if a septor- 
hinoplasty is performed and a septoplasty was necessary to improve the airway, OHIP will pay M012 
and the surgeon is entitled to claim the difference from the patient). 

- Prior OHIP authorization is required. A description of the external deformity should be provided. 

6. Excision of excess btty tissue and/or skin 

is not a benefit of the Plan except for panniculectomy where there is significant symptomatology. 

- Prior OHIP authorization is required. 

7. Sex-Reassignment Surgery 

(1) Sex-reassignment surgical procedures are a benefit of OHIP only if thev are performed on patients w^o 
have completed the Gender Identity Clinic program operated by the Clarke institute of Psychiatry in 
Toronto. Moreover, claims are accepted for payment only for those patients for whom the Clinic has 
recommended that surgery take place. This surgery need not take place in Toronto or even in Ontario. 
Surgery recommended by the Clinic which takes place outide the Province of Ontario may be approved 
for payment at rates in accordance with the current OHIP Schedule of Benefits. 

(2) Within the foregoing guidelines, reconstruction of genitaUa and mastectomy are benefits of the Plan. 
However, since the hormonal treatments associated with sex-reassignment themselves give rise to breast 
enlargement, augmentation mammoplasty or breast reconstruction m a male to female conversion is not 
a benefit of OHIP, in keeping with the previously outlined policy regarding breast surgery in females. 
Prior OHIP authorization is required. 

154 



O. Reg. 94/89 THE ONTARIO GAZETTE 1009 

CONSULTATIONS AND VISITS 

Code FAMILY PRACTICE AND PRACTICE IN GENERAMOO) 

GcoenU Listings: 

A005 Consultation „ ™ 48J0 

A006 Repeat consultation _ 3630 

A003 General assessment „ „ 44.90 

A004 General re-assessment 26.40 

A903 Pre-dental general assessment 39.70 

A007 Intermediate assessment/Well baby care _ 22.90 

AOOl Minor assessment 15.10 

K017 Annual health examination - child after second birthday _ 27.25 

K009 - adolescent, adult 39.60 

A009 Oculo-visual assessment (i.e. major eye examination to include refraction and tonometry) 35.70 

N.C. Dispensing service fee ^™».„™..„™^„ N.A.B. 

NoB-Emergency Hospital In-Patient Services: (see Preamble, paragraph B39 - for emergency 
calls and other special visits to in-patients, use General listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C005 Consultation 4830 

C006 Repeat consultation 3630 

C003 General assessment 44.90 

C004 General re-assessment .......-^.....«.^..-^„ 26.40 

C903 Pre-dental general assessment „ 39.70 

Subsequent visits (minor assessments): „ 

C002 up to five weeks per visit 15.10 

C007 from sixth to thirteenth week inclusive (ouudiiium per mtA $4530) per visit 15.10 

C009 after thirteenth week (maximum per month $90i>0) per visit 15.10 

C008 Concurrent care (minor assessments) per visit 15.10 

COlO Supportive care (minor assessments) 13.20 

Attendance at maternal delivery for care of high risk baby(s) 

H007 - (if only service rendered at time of delivery) 56.15 

Note: Consultation should not be claimed with attendance at maternal delivery - other fees may apply. 

HOOl Newborn care in hospital and/or home 47.60 

H002 Low birth weight baby care (uncomplicated) initial visit (per baby) 29.80 

H003 - thereafter per visit 14.90 

Emergency Department • Physician on Duty: (see Preamble, paragraph B.40) Assessments 
may include interpretation oT x-ray, E.CG. and other laboratory data as required. 

H103 Multiple systems assessment ™__™ 25.20 

HlOl Minor assessment 12.60 

H104 Re-assessment (see Preamble - paragraph B.U) 12.60 

When above visits are rendered by the physician on duty in premium hours, apply the 
following fees. 

12 Midnight to 8.-00 ajn. 

H123 Multiple systems assessment 37.80 

H121 Minor assessment 18.90 

H124 Re-assessment „„ 18.90 

Saturdays, Sundays and Holidays 

H153 Multiple systems assessment 32.80 

H151 Minor assessment 16.40 

H154 Re-assessment 16.40 



155 



1010 THE ONTARIO GAZETTE O. Reg. 94/89 

CONSULTATIONS AND VISITS 

Code FAMILY PRACTICE AND PRACTICE IN GENERAL (00) - Cont'd. 

When any other service is rendered by the physician on duty in premium hours (and assessments 
may not be claimed), apply one of the following premiums per patient visit. 

H112 - 12 midnight to 8.00 a.m 12.60 

H113 - Saturdays, Sundays or Holidays 7.40 

Emergency or O.P.D. - Physician in Hospital But Not on Duty in the Emergency Department 
When seeing Patient(s) in Emergency or O.P.D. - use General Listings. 

Long Term Institutional Care: (for emergency calls and other special visits to institutional 
patients, use General Listings and Premiums [Preamble, paragraph B.43] >jv^en applicable). 

Chronic Care Hospitals, Convalescent Hospitals, Nursing Homes, or Other Institutions in 
Which Patients are covered by Extended Care Legislation: 

W105 Consultation 48.30 

W106 Repeat consultation 36.30 

W102 Admission assessment (see Preamble) Type 1 44.90 

W104 Type 2 15.10 

W107 Type 3 26.40 

W109 Annual physical examination 44.90 

General re-assessment of patient in nursing home and covered by extended care legislation 

W(X)4 (as per the Nursing Homes Act) 15.10 

W903 Pre-dental and pre-surgery general assessment 39.70 

Subsequent visits (minor assessments see Preamble, paragraph B.15): 

- chronic care or convalescent hospital (maximum of 10 f>er patient, per month) 

W002 - first 4 visits per month (may be claimed by the most responsible physician) per visit 15.10 

wool - subsequent visits per month per visit 11.30 

- nursing home or other institution covered by extended care legislation (maximum of 5 per 

patient, per month) 

W003 - first 2 visits per month (may be claimed by the most responsible physician) per visit 15.10 

W008 - subsequent visits per month per visit 11.30 

Homes for the Aged and Other Institutions in Which Patients are Not Covered by Extended 
Care Legislation: (use General Listings and Premiums [Preamble, paragraph B.43] when 
applicable.) General Listings under these circumstances also apply to patients seen in bed 
rather than in an offîce supplied by the institution. 

Psychotherapy: (includes narcoanalysis or psychoanalysis or treatment of sexual dysfunction) 
Note: (l)Psychotherapy or hypnotherapy or counselling are not to be claimed in conjunction with 
other consultations or visits rendered by a physician during the same patient visit unless 
there are clearly defined different diagnoses for the two services. 
(2)The minimum time period for psychotherapy (to be claimed as such) is 20 minutes. 
(See Preîunble, paragraph B.19). 

K007 Individual - per 1/2 hour or major part thereof (see Preamble, paragraph B.19) 44.60 

Group - (four to eight people) per 1/2 hour or major part thereof 

K012 - per member (up to six hours per day) 8.25 

N.C. - per member (seventh to ninth hour per day) N.A.B. 

Family - (two or more family members in attendance at the same time) per 1/2 hour 
K004 or major part thereof. 48.30 



156 



O. Reg. 94/89 THE ONTARIO GAZETTE 1011 

CONSULTATIONS AND VISITS 

Code FAMILY PRACTICE AND PRACTICE IN GE3ŒRAL (00) • C«at'd. 

HypnodMnpy: 

K006 IiKÛvidual - per 1/2 hour or major part thereof 44.60 

Note May not be claimed with diagnosis of acne, psoriasis, smoking, obesity or in conjunction 
with delivery. 
Group, for inducticm and training for hypnosis (up to eight people) - per 1/2 hour or major 
KOll part thereof, per member _— — -. — 8.25 

Coanaellii^ - intended as an educational experience - not intended for ongoing therapy or as a 
K013 substitute for a minor assessment - one or more people - per 1/2 hour or major part thereof — 44.10 

Counselling for transplant recipients, donors and families of recipients and donors - one or 
K014 more people - per 1/2 hour or major part thereof (Preamble, paragraph B-20(b)) 44.10 

Counselling Relatives - on behalf of catastrophically or terminally ill patient - one or more 
K015 peopleperhalf hour or major part thereof (Preamble, paragraph B20(c))„ 44.10 

Ccrtificatioa of Mental IUbcss - 

Application for psychiatric assessment, (as mandated by the Mental Health Act) - including 
necessary history, examination, notification of the patient, family and relevant authorities 

K623 and completion of Form 1 76.00 

Certification of involuntary admission (as required by the Mental Health Act) - including 
history, examination, notification of the patient, family and relevant authorities and 

K624 completion of Form 3 - 93.70 

K629 All other re-certification(s) of involuntary admission — 27.80 

Note: Consultation or assessment normally may not be claimed in addition. 

N.C. Certification of incompetence (financial) including assessment to determine incompetence Nj\.B. 

interviews 

Interviews with relatives on behalf of a patient, per 1/2 hour or major part thereof • not a benefit 
when the information being obtained is part of the history normally included in the 
consultation or assessment of the patient. The interview must be a booked, separate 

K002 appointment 44.10 

Interviews with C-A.S. or legal guardian on behalf of a patient, per 1/2 hour or major 
part thereof • not a benefit when the information being obtained is part of the history 
■ormally included in the consultation or assessment of tlM patient The interview must be a 
K003 booked, separate appointment 44.10 

Note: K002, K003 - Should be claimed on the patient's claim card with diagnosis. These listings apply 
to situations where medically necessary mformation cannot be obtained from or given to the 
patient (e.g. because of illness, incompetence, etc). 

Diagnostic interview and/or counselling with child and/or parent: 

K008 for psychological problem or learning disabilities, per 1/2 hour 44.60 

Note: Claims for K008 should be submitted on child's card. 

N.C. - for testing per 1/2 hour „ NA.B 

Interviews with other paramedical organization or others on behalf of a patient - per 1/2 hour 

N.C. or major part thereof NA.B. 

Case conference - with medical and/or paramedical personnel on behalf of a patient - 

N.C. per 1/2 hour or major part thereof NA.B. 

Premiums for Special MsiU by Physicians, Detention Visits to l.CU. or CCU. may be claimed 
in Addition to Above Fees - see Preamble, paragraph B.43-46 



157 



1012 THE ONTARIO GAZETTE O. Reg. 94/89 

CONSULTATIONS AND VISITS 

Code FAMILY PRACTICE AND PRACnCE IN GENERAL (00) • Coat'd. 

Genetk CoaueUing: 

K019 Individual or family - per 1/2 hour (maximum 2 hours) 48.30 

K020 Interview with relatives - per 1/2 hour (maximum 2 hours) 4830 

Note: The minimiiin time period required for any of the time based services listed on this page is twenty 
minutes - see Preamble, paragraph B.19 for elaboration of the principles of the billing procedure. 

Sexual Assault Examinatioa for Investigatioii and/or CoaflriBatioB of Alleged Sexual Assault 
and Documentatioa 

K018* -female 222.00 

K021» -male 175.00 

Note: K018 and K021 may only be claimed «lien the kit provided by the Ministries of the Attorney 
General and Solicitor General has been used. 

* A portion of the listed benefits for K018 and K021 is recovered by OHIP fi-om the Ministries 
of the Attorney General and the Solicitor General. 

Certification and Reports: With or Without Examination: 

N.C. Certification of health (ordinary) or competency N.A.B. 

N.C. Free from infection (barbers, waiters, etc.) NA.B. 

Certification of disability or previous immunization. Insurance report based on previous 
N.C. examination or on illness or death NA.B. 

Medico-legal report or reports required by law or hospital by-laws - the fee should reflect fairly 
the difficulty of the matter and the experience and expertise of the physician, the nature and 
N.C complexity of the report and the time required to prepare it N A.B. 

ALLERGY 

Since the Royal College of Physicians and Surgeons of Canada has not set a standard for 

"Allergy Specialist", fees for consultations and visits shall be applicable to a specific allergist 
as they rerer to him in his own General or Specialty Tariff except for the following: 
Clinical interpretation by immunologists where a report of a survey is submitted in writing to the 
K399 patient's physician (not to apply when the immunologist receives a consultation fee) 25.80 

ANAESTHESIA (01) 

General Listings: 

A015 Consultation 92.50 

A016 Repeat consultation 45.30 

A013 Specific assessment 41.10 

A014 Partial assessment 18.30 

Emergency or O.P.D. • Physician in Hospital But Not on Duty in the Emergency Department 
When Seeing Patient(s) in the Emergency or O.P.D. - use General Listings. 

Non-Emergency Hospital In-Patient Services: (see Preamble, paragraph B.39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. may be claimed 
in Addition to Above Fees - see Preamble, paragraph B.43-46 



158 



O. Reg. 94/89 THE ONTARIO GAZETTE 

CONSULTATIONS AND VISITS 



1013 



Code ANAESTHESIA (01)- CoatU 



C»15 
C016 
COD 
C014 

C012 
C017 
C019 
COW 



A60S 
A675 
A606 
A603 
A604 
A608 



C60S 
C675 
C606 
C603 
C604 

C602 
C607 
C609 
C608 



A095 
A096 
A093 
A094 



Consuhation 

Repeat consultation. 
Specific assessment . 



Specific re-assessment 

Subsequent visits (minor assessments): 

up to five weeks ~~ per visit 

from sixth to thirteenth week inclusive (mtIiw par week $50.10) per visit 

after thirteenth week (nuudmam per month $100JO) per visit 

Concurrent care (See Preamble, paragraph B2S) per visit 

CARDIOLOGY (60) 

For Services not listed, refer to Internal Medicine Section. 

GeneralLis tings: 

Consultation * 

Limited consultation 

Repeat consultation 

General assessment 

General re-assessment 

Partial assessment 



Emergency or O.P.D. - Physidan in Hospital But not on Duty In the Emergency Departmoit 
When Seeing Patient(s) In the Emergency or O.P.D. - use General Listings. 

Non-Emergency Hospital In-Patlent Services: (see Preamble paragraph B39 - for emergency 
calls and other special visiu to in-patients, use General I istings and Premiiuns [Preamble, 
paragraph B.43] when applicable). 

Consultation 

Limited consultation 

Repeat consultation 

General assessment 

General re-assessment „ 

Subsequent visits (minor assessments): 

up to five weeks - per visit 

from sixth to thirteenth week inclusive (maximum per week $50.10) per visit 

after thirteenth week (nuudmam per nrantli $100 JO) per \isit 

Concurrent care (minor assessments) per visit 

CARDIOVASCULAR AND THORACIC SURGERY (09) 

General Listings: 

Consultation 

Repeat consultation 

Specific assessment „ « 

Partial assessment — 



Emergency or O.P.D. - Physician In Hospital bat not on Duty In the Emergency Department 
«iien Seeing Patient(s) or O.P.D. - use General Listings. 

Premiums Tor Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. may be claimed 
in Addition to Above Fees - see Preamble, Paragraph B.43-46 



92.50 
4530 
4L10 
24.40 

16.70 
16.70 
16.70 
16.70 



102.45 
67.50 
6730 
52.40 
37.70 
22.40 



102.45 
67J0 
6730 
52.40 
37.70 

16.70 
16.70 
16.70 
16.70 



52.80 
4030 
35.70 
18J0 



159 



1014 THE ONTARIO GAZETTE O. Reg. 94/89 

CONSULTATIONS AND VISITS 

Code CARDIOVASCULAR AND THORACIC SURGERY (09) - Cont'd. 

Non-Emergency Hospital In-Patient Services: (see Preamble, paragraph B.39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C095 Consultation 52.80 

C0% Repeat consultation 40.50 

C093 Specific assessment 35.70 

C094 SpeciHc re-assessment 22.60 

Subsequent visits (minor assessments): 

C092 up to five weeks per visit 16.70 

C097 from sixth to thirteenth week inclusive (nuudmnm per week $50.10) per visit 16.70 

C099 after thirteenth week (maximum per month $100.20) per visit 16.70 

C098 Concurrent care (minor assessments) per visit 16.70 

Long Term Institutional Care • Chronic and Convalescent Hospitals, Homes for the Aged • 
Patients Covered by Extended Care Legislation and Nursing Homes. 

W095 Consultation 52.80 

W096 Repeat consultation 40.50 

CLINICAL IMMUNOLOGY (62) 

For Services not listed, refer to Internal Medicine Section. 

General Listings: 

A625 Consultation 102.45 

A525 Limited consultation 67.50 

A626 Repeat consultation 67.50 

A623 General assessment 52.40 

A624 General re-assessment 37.70 

A628 Partial assessment 22.40 

Emergency or O.P.D. • Physician in Hospital But not on Duty in the Emergency Department 
When Seeing Patient(s) in the Emergency or O.P.D. • use General Listings. 

Non-Emergency Hospital In-Patient Services: (see Preamble, paragraph B39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C625 Consultation 102.45 

C525 Limited consultation 6730 

C626 Repeat consultation 67 JO 

(3623 General assessment 52.40 

C!624 General re-assessment 37.70 

Subsequent visits (minor assessments): 

C622 up to five weeks per visit 16.70 

C627 from sixth to thirteenth week inclusive (maximum per week $50.10) per visit 16.70 

C:629 after thirteenth week (maximum per month $10020) per visit 16.70 

C628 Concurrent care (minor assessments) per visit 16.70 

Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. may be claimed 
in Addition to Above Fees • see Preamble, paragraph B.43-46 



160 



O. Reg. 94/89 THE ONTARIO GAZETTE 1015 

CONSULTATIONS AND VISITS 

Code DERMATOLOGY (02) 

Gcocrai Listings: 

A025 Consultation „ 49.60 

A026 Repeat consulution 4050 

A023 Specific assessment 34.70 

A024 Partial assessment 17.90 

EoMrgTBcy or O.P.D. • Physician in Hospital Bat Not on Duty in tlw Emergeucy Department 
When Seeing Patlent(s) in the Emeriency or O.P.D. - use General Listii^ 

Non-Emergency Hospital In-Patient Services: (See Preamble, paragraph B39 - for emergency 

calls <ind other special visits to m-patients, use General listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C023 Consultation 49.60 

C026 Repeat consultation 4030 

C023 Specific assessment I 34.7D 

C024 Specific re-assessment ™ 22.60 

Subsequent visits (minor assessments): 

O022 up to five weeks per visit 16.70 

O027 from sixth to thirteenth week inclusive (maximum per week $50.10) , per visit 16.70 

C029 thirteenth week (maximum per month SIOOJO) per visit 16.70 

C028 Concurrent care (minor assessments) per visit 16.70 

Long Term Institutional Care - Chronic and Convalescent Hospitals, Homes for the Aged - 
^tients Covered by Extended Care Legislation and Nursing Homes. 

W025 Consultation „ 49.60 

W026 Repeat consultation 40J0 

GASTROENTEROLOGY (41) 

For Services not listed, refer to Internal Medicine Section. 

General Listings: 

A415 Consultation 102.45 

A545 Limited consultation 6730 

A416 Repeat consultation 6730 

A413 General assessment 52.40 

A414 General re-assessment 37.70 

A418 Partial assessment „ 22.40 

Emergency or O.P.D. • Physician in Hospital But not on Duty in the Emergency Department 
When Seeing Patient(s) in the Emergency or O.P.D. - use General Listings. 

Non-Emergency Hospital In-Patient Services: (see Preamble, paragraph B39 - for emergency 
calls and other special visits to in-patients, use General Listing and Premiums [Preamble, 
paragraph B.43] when applicable). 

C415 Consultation 102.45 

C545 Limited consultation 6730 

C416 Repeat consultation „_..__..._ 6730 

Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or CC.U may be claimed 
in Addition to Above Fees • see Preaml)ie, paragraph B.43-46 



161 



1016 THE ONTARIO GAZETTE O. Reg. 94/89 

CONSULTATIONS AND VISITS 

Code GASTROENTEROLOGY (41) - Cont'd. 

C413 General assessment 52.40 

C414 General re-assessment 37.70 

Subsequent visits (minor assessments): 

C412 up to five weeks per visit 16.70 

C417 from sixth to thirteenth week inclusive (nuudmum per week $50.10) per visit 16.70 

C419 after thirteenth week (maximum per month $100.20) per visit 16.70 

C418 Concurrent care (minor assessments) per visit 16.70 

GENERAL SURGERY (03) 

General Listings: 

A035 Consultation 52.80 

A036 Repeat consultation 40.50 

A033 Specific assessment 35.70 

A034 Partial assessment 18.30 

Emergency or O.P.D. - Physician in Hospital But Not on Duty in the Emergency Department 
When Seeing Patient(s) in the Emergency or O.P.D. - use General Listings. 

Non-Emergency Hospital In-Patient Services: (see Preamble paragraph B.39 - for emergency 
calls <ind other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C035 Consultation 52.80 

C036 Repeat consultation 40.50 

C033 Specific assessment 35.70 

C034 Specific re-assessment 22.60 

Subsequent visits (minor assessments): 

C032 up to five weeks per visit 16.70 

C037 from sixth to thirteenth week inclusive (maximum per week $50.10) per visit 16.70 

C039 after thirteenth week (maximum per month $100 JO) per visit 16.70 

C038 Concurrent care (minor assessments) per visit 16.70 

Long Term Institutional Care - Chronic and Convalescent Hospitals, Homes for the Aged • 
Patients Covered by Extended Care Legislation and Nursing Homes. 

W035 Consultation 52.80 

W036 Repeat consultation 40.50 

Subsequent visits (minor assessment, see Preamble, paragraph B.15): 

- chronic care or convalescent hospital (maximum of 10 per patient, per month) 

W032 - first 4 visits per month (may be claimed by the most responsible physician) per visit 15.10 

W031 - subsequent visits per month per visit 12.30 

- nursing home or other institution, covered by extended care legislation (maximum of 5 

per patient, per month) 

W033 - first 2 visits per month (may be claimed by the most responsible physician) per visit 15.10 

W038 - subsequent visits per month per visit 12.30 

Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U may be claimed 
in Addition to Above Fees • sec Preamble, paragraph B.43-46 



162 



O. Reg. 94/89 THE ONTARIO GAZETTE 

CONSULTATIONS AND VISITS 



1017 



Code GENERAL THORACIC SURGERY (64) 



General UstiBSs: 

Consultation 



C845 
C646 
C643 
€644 

C642 
C647 
C649 
C648 



W645 
W646 



A84S 

A646 Repeat consultation 

A643 Spedfic assessment 

A644 Partial assessment 



EacryeKy or O.P.D. - Physidu ia Hospital B«t Not oa Duty ia tkc Emetfitucy DepartaMSt 
Whea Sceiag Patieat(s) ia the EaMt^Bcacjr or OJfJ). • Use General Listings. 

Noa-caiergency Hospital In-Paticnt Services: (see Preamble, paragraph B39 - For emergency 
calls and other special visits to in-patients, use General listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

Consultation 



52.80 
40 JO 
35.70 
18J0 



Repeat consultation . 

Specific assessment . 

Specific re-assessment 

Subsequent visits (minor assessments): 

up to five weeks „ 

from sixth to thirteenth week inclusive (aaxiaiaai per week $50.10). 
after thirteenth week (maximum per Boath S100.20) . 

Concurrent care (minor assessments) . 



per visit 

per visit 

.per visit 
per visit 



Loog Term Institutional Care • Chroaic aad Coavalcscent Hospitals, Hooks for the Aged 
Patieats Covered by Exteaded Care Legislatioa aad Nursing Homes: 

Consukation. 
Repeat consultation . 



HAEMATOLOGY (61) 

For Services not listed, refer to Internal Medicine Section. 



Geacral Ustiags: 

A615 Consultation. 
A655 Limited consultation. 
A616 Repeat consultation . 
A613 General assessment» 



A614 General re-assessment.. 
A618 Partial assessment . 



52J0 
4030 
35.7D 
22.60 

16.70 
16.70 
16.70 
16.70 



52.80 
40 JO 



102.45 
67 JO 
6730 
52.40 
J7.70 
22.40 



Emergency or O.P.D. - Physician in Hospital But not oa Duty ia the Emttrgtacy Departowat 
When Seeing Patient(s) in the Emergency or O.P.D. - use General Listings. 

Non-Emergency Hospital In-Patient Services: (see Preamble, paragraph B39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C615 Consultation. 

C655 Limited consultation. 

C616 Repeat consultation . 

Premiums for Special Visits by Physicians, Detention Visits to I.CU. or CCU may be claimed 
in Addition to Above Fees - see Preamble, paragraph B.43-46 



102.45 
67 JO 
67 JO 



163 



1018 THE ONTARIO GAZETTE O. Reg. 94/89 

CONSULTATIONS AND VISITS 

Code HAEMATOLOGY (61) • Coat'd. 

C613 General assessment ^....,.. ...... „ 52,40 

C614 General re-assessment . 37.70 

Subsequent visits (minor assessments): 

C612 up to five weeks per visit 16.70 

C;617 fi-om sixth to thirteenth week inclusive (maxhnam per freek $5040) per visit 16.70 

C!619 after thirteenth week (maximum per month $100 JO) per visit 16.70 

ŒIS Concurrent care (minor assessments) per visit 16.70 

INTERNAL MEDICINE (13) 

General Listings: 

A135 Consultation 102.45 

A435 Limited consultation 6750 

A136 Repeat consultation 67.50 

A133 General assessment 52.40 

A134 General re-assessment 37.70 

A138 Partial assessment 22.40 

Emergency or O.P.D. - Physician in Hospital But not on Duty in the Emergency Department 
When Seeing Patient(s) in the Emergency or O.P.D. - use General Listings. 

Non-Emergency Hospital In-Patient Services: (see Preamble, paragraph B.39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C135 Consultation 102.45 

C435 Limited consultation 67.50 

C136 Repeat consultation 67.50 

C133 General assessment 52.40 

C134 General re-assessment 37.70 

Subsequent visits (minor assessments): 

C132 up to five weeks per visit 16.70 

C137 from sixth to thirteenth week inclusive (maximum per week $50.10) per visit 16.70 

C139 after thirteenth week (maximum per month $100.20) per visit 16.70 

C138 Concurrent care (minor assessments) per visit 16.70 

Long Term Institutional Care: (for emergency calls and other special visits to institutional 
patients, use General Listings and Premiums [Preamble,paragraph B.43] when applicable). 

Chronic Care Hospitals, Convalescent Hospital, Nursing Homes or other Institutions in which 
patients are Covered by Extended Care Legislation: 

W235 Consultation 102.45 

W435 Limited consultation 67.50 

W236 Repeat consultation 67.50 

W232 Admission assessment (see Preamble, Paragraph B.14) Type 1 44.90 

W234 Type 2 15.10 

W237 Type 3 26.40 

W239 Annual physical examination 44.90 

Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. may be claimed 
in Addition to Above Fees - see Preamble, paragraph B.43-46 



164 



O. Reg. 94/89 THE ONTARIO GAZETTE 

CONSULTATIONS AND VISITS 



1019 



Code INTERNAL MEDICINE (13) - Coat'd. 

General re-assessment of patient in nursing home and covered by extended care legislation (as 

W134 per the Nursing Homes Act) 

Note May only be claimed 6 months after Annual Health Examination (as per the Nursing Homes Act). 

Subsequent visits (minor assessments): 

- chronic care or convalescent hospital (maximum of 10 per patient, per month) 

W132 - first 4 visits per month (may be claimed by the most responsible physician) per visit 

W131 - subsequent visits per month per visit 

- nursing home or other institution, covered by extended care legislation (maximum of S 

per patient, per month) 

W133 • first 2 visits per month (may be claimed by most responsible physician) per visit 

W138 - subsequent visits per month per visit 

HooMS for the Aged and Other Institutions in which Patients are Not Covered by Extended Care 
Legislatioa: use General Listings and Premiums (Preamble, paragraph B.43) when applicable. 
General Listings under these circumstances also apply to patients seen in bed rather tnan an 
office supplied by the Institution. 

LABORATORY MEDICINE (28) - The following fees are appiicabie to specialists !■ 
Medical Biochemistry, Medical Microbiology, >^iatomic and General Pathology 

GcMral Listings: 

A285 Consultation „. 

A286 Repeat or limited consultation . 

A58S Diagnostic consultation - see definition in Preamble, paragraph 1(h) . 



Noo-Emergency Hospital In-Patient Services: (see Preamble, paragraph B39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 



C285 Consultation 

C286 Repeat or limited consultation . 

CSSS Diagnostic consultation . 

C288 Concurrent care 



.per visit 



NEUROLOGY (18) 

GcMnl Listiag: 

A185 Consultation 

A38S Limited consultation. 

A186 Repeat consultation ._. 

A183 General assessment. 

A184 General re-assessment... 

A188 Partial assessment . 

Em u f U Ec y or O.P.D. • Physkiaa la Hospital Bat Not oa Daty la the Eawrgeacy DepartaMat 
Whca Scdag Patieat(s) ia the Eawrgeacy or O.P.D. - use General Listi^ 

Noa-Ea m 'g ta cy Hospital In-Patient Services: (see Preamble, paragraph B39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums (Preamble, 
paragraph B.43] when applicable). 

PremiHBis for Spedal Visits by Physicians, Detention Vbits to LC.U. or C.CU. aiay be daiaied 
ia Additioa to Above Fees • sec Preambic, paragraph B.43-46 



15.10 



16.70 
12J0 



16.70 
12J0 



88.15 
5&80 
58.80 



88.15 
58.80 
58.80 
16.70 



102.45 
6730 
6730 
52.40 
37.70 
22.40 



165 



1020 



THE ONTARIO GAZETTE 

CONSULTATIONS AND VISITS 



O. Reg. 94/89 



Code NEUROLOGY (18) ■ Cont'd. 

C185 Consultation 102.45 

C385 Limited consultation 67.50 

C186 Repeat consultation 67.50 

C183 General assessment 52.40 

C184 General re-assessment 37.70 

Subsequent visits (minor assessments): 

C182 up to five weeks per visit 16.70 

C187 from sixth to thirteenth week inclusive (maximum per week $50.10) per visit 16.70 

C189 after thirteenth week (maximum per month $10020) per visit 16.70 

C188 Concurrent care (minor assessments) per visit 16.70 

Long Term Institutional Care - Chronic and Convalescent Hospitals, Homes for the Aged 
Patients Covered by Extended Care Legislation and Nursing Homes: 

W185 Consultation 102.45 

W385 Limited consultation 67.50 

W186 Repeat consultation 67.50 

NEUROSURGERY (04) 



General Listings: 

A045 Consultation 

A046 Repeat consultation .'. 

A043 Specifîc assessment 

A044 Partial assessment 

Emergency or O.P.D. • Physician in Hospital But Not on Duty in the Emergency Department 
When Seeing Patient(s) in the Emergency or O.P.D. - use General Listings. 

Non-Emergency Hospital In-Patient Services: (see Preamble, paragraph B.39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C045 Consultation ~ 

C046 Repeat consultation 

C043 Specific assessment 

C044 Specific re-assessment 

Subsequent visits (minor assessments): 

C042 up to five weeks per visit 

C047 from sixth to thirteenth week inclusive (maximum per week $50.10) per visit 

C049 after thirteenth week (maximum per month $10020) per visit 

C048 Concurrent care (minor assessments) per visit 

Long Term Institutional Care - Chronic and Convalescent Hospital, Homes for the Aged - 
Patients Covered by Extended Care Legislation and Nursing Homes: 



81.00 
45.40 
45.40 
23.80 



W045 Consultation 

W046 Repeat consultation . 



81.00 
45.40 
45.40 
23.80 

16.70 
16.70 
16.70 
16.70 



81.00 
46.10 



Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. may be claimed 
in Addition to Above Fees - see Preamble, paragraph B.43-46 



166 



O. Reg. 94/89 THE ONTARIO GAZETTE 

CONSULTATIONS AND VISITS 



1021 



Code ^aJCLEAR MEDICINE (63) 



A205 
A206 
A203 
A204 



C205 
C206 
C203 
C204 

C202 
C207 
C209 
C208 



G635 Consultation 

G634 Repeat consultation 

G935 Diagnostic consultation - see definition in Preamble, paragraph l(j) . 

G632 Partial assessment 



OBSTETRICS AND GYNAECOLOGY (20) 

General Listings: 

Consultation* 

Repeat consultation* 

Specific assessment* 

Partial assessment 



Emergency or O.P.D. • Physician in Hospital Bat Not oa Duty ia the Emergency Department 
When Seeing Patient(s) ia the Emcrgeacy or O.PJ).^ use General Listings. 

Non-Emergency Hospital In-Patient Services: (see Preamble, paragraph B.39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

Consultation* .„ 

Repeat consultation* 

Specific assessment* 

Specific re-assessment* 

Subsequent visits (minor assessments): 

up to five weeks per visit 

from sixth to thirteenth week inclusive (maximum per week $50.10) per visit 

after thirteenth week (maximum per month S100.20) per visit 

Concurrent care (minor assessments) per visit 

Long Term Institutional Care - CThronic and Convalescent Hospitals, Homes for the Aged- 
^tients Covered by Extended Care Legislation and Nursing Homes: 



58.00 
39.90 
25.60 
22.40 



52.40 
40 JO 
36.10 
18.10 



W305 Consultation* 

W306 Repeat consuhation* . 



* Includes (where indicated) biopsy of cervix, Papanicolaou smear, examination of trichomonas 
suspension. 

OPHTHALMOLOGY (23) 



5140 
40 JO 
36.10 
22.60 

16.70 
16.70 
16.70 
16.70 



5140 
40 JO 



General Listings: 

A235 ConsiJtation 

A236 Repeat consultation . 
A233 Specific assessment .. 
A234 Partial assessment .... 



Emergency or O.P.D. • Physician in Hospital But Not oo Duty in the Elmergency Department 
When Seeing Patient(s) in the Emergency or O.P.D. - use General Listings. 



Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. may be claimed 
in Addition to Above Fees • sec Preamble, paragraph B.43-46 



52.40 
41J0 
38.00 
18.70 



167 



1022 THE ONTARIO GAZETTE O. Reg. 94/89 

CONSULTATIONS AND VISITS 

Code OPHTHALMOLOGY (23) ■ Cont'd. 

Noà-Emcrgency Hospital In-Patknt Services: (see Preamble, paragraph B.39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C235 Consultation 52.40 

C236 Repeat consultation 41J30 

C233 Specific assessment 38.00 

C234 Specific re-assessment 22.80 

Subsequent visits (minor assessments): 

C232 up to five weeks per visit 16.70 

C237 from sixth to thirteenth week inclusive (Duudmum per week $50.10) per visit 16.70 

C239 after thirteenth week (maximum per mootli SIOOJO) per visit 16.70 

C238 Concurrent care (minor assessments) per visit 16.70 

Long Term Institutional Care • Chronic and Convalescent Hospitals, Homes for the Aged • 
Patients Covered by Extended Care Legislation and Nursing Homes: 

W535 Consultation 52.40 

W536 Repeat consultation 41.30 

ORTHOPAEDIC SURGERY (06) 

General Listings: 

A065 Consultation 50.50 

A066 Repeat consultation 40.50 

A063 Specific assessment 34.90 

A064 Partial assessment 17.90 

Emergency or O.P.D. • Physician in Hospital But Not on Duty in the Emergency Department 
When Seeing Patient(s) in the Emergency or O.P.D. - use General Listings. 

Non-Emergency Hospital In-Patient Services: (see Preamble, paragraph B.39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43J when applicable). 

C065 Consultation 50.50 

C066 Repeat consultation 40.50 

C063 Specific assessment 34.90 

C064 Specific re-assessment 22.60 

Subsequent visits (minor assessments): 

C062 up to five weeks per visit 16.70 

C067 from sixth to thirteenth week inclusive (maximum per week $50.10) per visit 16.70 

C069 after thirteenth week (maximum per month $10020) per visit 16.70 

C068 Concurrent care (minor assessments) per visit 16.70 

Long Term Institutional Care - Chronic and Convalescent Hospitals, Homes for the Aged 
Clients Covered by Extended Care Legislation and Nursing Homes: 

W065 Consultation 50.50 

W066 Repeat consultation 40.50 

Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or CC.U. may be claimed 
in Addition to Above Fees - sec Preamble, paragraph B.43-46 



168 



O. Reg. 94/89 THE ONTARIO GAZETTE 

CONSULTATIONS AND VISITS 



1023 



Code ORTHOPAEDIC SURGERY (OO • CoatU 



W062 
W061 



W063 
W068 



A245 
A246 
A243 
A244 



C245 
C246 
C243 
C244 

C242 
C247 
C249 
C248 



Subsequent visits (minor assessments): 

- chronic care or convalescent hospital (maximum of 10 per patient, per month) 

- first 4 visits per month (may be claimed by the most responsible physician) per visit 

- subsequent visits per month per visit 

- nursing home or other institution covered by extended care legislation (maximim of 5 per 

patient, per month) 

- first 2 visits per month (may be claimed by the most responsible physician) per visit 

- subsequent visits per month • per visit 

OTOLARYNGOLOGY (24) 

General Listings: 

Consultation ______»«.__>-_— ..>.>— -~~~«. 

Repeat consultation 

Specific assessment 1. 

Partial assessment 



Emergency or O.P.D. - Physician in Hospital But Not on Duty in the Emergency Department 
When Seeing Patient(s) in the Emergency or O.P.D. • use General Listings. 

Non-Emergency Hospital In-Patient Services: (see Preamble, paragraph B39 - for emergency 
calk and other special visits to in-patients, use General Listings and Premiums (Preamble, 
paragraph B.43] when applicable). 

Consultation - 

Repeat consultation — 

Specific assessment — 

Specific re-assessment 

Subsequent visits (minor assessments): 

up to five weeks per visit 

from sixth to thirteenth week inclusive (maximum per week $50.10) per visit 

after thirteenth week (maximum per moath $100.20) per visit 

Concurrent care (minor assessments) per visit 

Long Term Institutional Care • Chronic and Convalescent Hospitals, Homes for the Aged - 
Patients Covered by Extended Care Legislation and Nursing Homes: 



W345 Consultation 

W346 Repeat consultation .. 

PAEDIATRICS (26) 



General Listings: 

A26S Consultation 

A66S Prenatal consultation ..., 

A565 Limited consultation..... 

A266 Repeat consultation 

A263 General assessment 

A264 General re-assessment. 



15.10 
12J0 



15.10 
12J0 



50.80 
4030 
35.70 
18.20 



50.80 
4050 
35.70 
22.60 

16.70 
16.70 
16.70 
16.70 



50.80 

40.50 



102.45 
6L15 
67 JO 
67 JO 
48J0 
32.00 



Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. may be claimed 
in Addition to Above Fees • see Preamble, paragraph B.43-46 



169 



1024 



THE ONTARIO GAZETTE 

CONSULTATIONS AND VISITS 



O. Reg. 94/89 



Code PAEDUTRICS (26) - Cont'd. 

A007 Intermediate assessment/Well baby care 22.90 

A261 Minor assessment 15.10 

K267 Annual health examination - child after second birthday 27.25 

K269 - adolescent 39.60 

Note: Dia^ostic interview and/or counselling with child and/or parent - see Practice in General 
Listmgs (p3) 

Emergency or O.P.D. • Physician in Hospital But Not on Duty in the Emergency Department 
Wlien Seeing Patient(s) in the Emergency or O.P.D. - use General Listings. 

Noo-Emergency Hospital In-Paticnt Services: (see Preamble, paragraph B39 - for emergency 
calls and other special visits to in-patients, use General I istings and Premituns [Preamble, 
paragraph B.43] when applicable). 

C265 Consultation 102.45 

C665 Prenatal consultation 61.15 

C565 Limited consultation 67.50 

C266 Repeat consultation 67.50 

C263 General assessment 48.80 

C264 General re-assessment 32.00 

Subsequent visits (minor assessments): 

C262 up to six weeks per visit 16.70 

C267 from seventh to thirteenth week inclusive (maximum per weeli $50.10) per visit 16.70 

C269 after thirteenth week (maximum per month $10020) per visit 16.70 

C26S Concurrent care (minor assessments) per visit 16.70 

H267 Attendance at maternal delivery 57.20 

Note: Consultation should not be claimed with attendance at maternal delivery. Other fees may apply. 

H261 Newborn care in hospital and/or home 52.(K) 

Low birthweight baby care (uncomplicated) 

H262 - initial visit (per baby) 45.30 

H263 -thereafter per visit 15.10 

N.C. Prc-adoption examination and evaluation for CA.S N.A.B. 

Chronic and Convalescent Hospital: 

W265 Consultation 102.45 

W565 Limited consultation 67.50 

W266 Repeat consultation 67.50 

W562 Admission assessment (see Preamble, paragraph B.14) Type 1 44.90 

W564 Type 2 15.10 

W567 Type 3 26.40 

Subsequent visits (maximum of 10 per patient, per month) 

W262 - first 4 visits per month (may be claimed by the most responsible physician) per visit 16.70 

W261 - subsequent visits per month per visit 11.50 

W269 Annual physical examination 27.25 

Note: In surgical cases requiring medical direction, standard in-hospital medical fees are to be claimed 
in adcution to the surgicalfee. This includes all operations on babies under one year of age, and 
all other older children who require medical supervision. 

Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.CU. may be claimed 
in Addition to Above Fees • see Preamble, paragraph B.43-46 



170 



O. Reg. 94/89 THE ONTARIO GAZETTE 

CONSULTATIONS AND VISITS 



1025 



PHYSICAL MEDICINE AND REHABILITATION (31) 

GoNnl Listi^s: 

A315 Consukatioo 



A515 Limited consuhatioo> 



C315 
0515 
C316 
C313 
C314 

C312 
C317 
C319 
C318 



W515 
W310 
W516 
W512 
W514 
W517 
W419 
W314 



W312 
W311 



W313 
W318 



A316 Repeat consultation . 

A313 General assessment.. 

A310 General re-assessment.. 

A314 Partial assessment 



102.45 
67.50 
67 JO 
50.40 
36.50 
23.40 



EmergOKy or O.P.D. • Physician in Hospital But Not oa Duty ia the Emenency Department 
When Seeing Patieat(s) in the Emervency or OJ>.D.- use General Listings. 

tiom-Emtrftmey Hospital la-Patieat Services: (see Preamble, paragrai^ B39 - for emergency 
calls and other special visits to in-patients, use General I jôingy and Premiums [Preamble, 
paragraph B.43] when applicable). 

Consultation ! „ 



Limited consuhatioo. 



Repeat consultation . 

General assessment.. 

General re-assessment. 

Subsequent visits (minor assessments): 

up to five weeks per visit 

from sixth to thirteenth week inclusive (auxinam per «cell $50.10) per visit 

after thirteenth week (nuudmum per aoatli SIOO.^) per visit 

Concurrent care (minor assessments) per visit 

Looc Tera lastitutioBal Care - Chronic Care Hospitals, Convalescent Hospitals, Nursing 
Homes or Other Institutions in which Patients are Covered by Extended Care Legislation: 

Consuhation „ 

Limited consultation „ 

Repeat consultation 

Admission assessment (sec Preamble, paragraph B.14) Type 1 „ 

Typc2 

Typc3.„ ™ 

Annual physical exammation 

General re-assessment of patient in nursing home or covered by extended care legislation 

May only be claimed 6 months after Annual Health Examination (as per the Nursing Homes Act). 
Subsequent visits (minor assessments): 

- chronic care or convalescent hospital (maximum of 10 per patient, per month) 

- first 4 visits per month (may be claimed by the most responsible physician) per visit 

- subsequent visits per month per visit 

- nursing home or other institution covered by extended care legislation (maximimi of 5 

per patient, per month) 

- first 2 visits per month (may be claimed by the most responsible physician) per visit 

- subsequent visits per month per visit 



102.45 
67.50 
67J0 
50.40 
36 JO 

16.70 
16.70 
16.70 
16.70 



102.45 
6730 
6730 
44.90 
15.10 
26.40 
44.90 
15.10 



16.70 
12.30 



16.70 
12J0 



Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. may be claimed 
in Addition to Above Fees - see Preamble, paragraph B.43-46 



171 



1026 THE ONTARIO GAZETTE O. Reg. 94/89 

CONSULTATIONS AND VISITS 

Code PHYSICAL MEDICINE AND REHABILITATION (31) - Cont'd. 

Homes for the Aged and Other Institutions in wfaicfa Patients are Not Covered by Extended Care 
Legislation: - use General Listings and Premiums (Preamble, paragraph B.43 when ap- 
plicable). General Listings under these circumstances also apply to patients seen in bed 
rather than an office supplied by the institution. 

Team Management in a Rehabilitation Unit (active in-patient rehabilitation management from 
the initiation of rehabilitation care). 

Active in-patient rehabilitation management from the initiation of rehabilitation care as it ap- 
plies to fee codes H312, H317 and H319 means when this service is rendered by one 
physiatrist even if part of the service is rendered in an active treatment hospital and part is 
rendered in a rehabilitation unit, the weekly and monthly limitations under tne following fee 
codes apply to the total rehabilitation care rendered. In other words, it is not possible to 
claim the maximum fees allowed under C312, C317 and C319 and then start claiming de novo 
under H312, H317 and H319 imder the above circumstances. 

H312 up to twelve weeks per visit 16.70 

H317 from thirteenth to twenty-sixth week (maximum per weeic $50.10) per visit 16.70 

H319 twenty-seventh week onwards (maximum per month $100.20) per visit 16.70 

Rehabilitation Procedures: Interviewing and counselling of patients and/or relatives 

H313 per half hour or major part thereof (includes report) 41.10 

Physiatric Management: applies to physiatrists regulating the day to day management of patients 
when medical necessity requires prescription development, advice and supervision. It may 
be claimed on the days when rehabilitation services are provided to patients seen previously 
by the physiatrist for consultation or assessment. The fee is not meant as an administrative 
fee for supervising a department of rehabilitation nor is it to be claimed on the same day as 
claims are made Tor any other services which are provided by the physiatrist to the same 
patient(s). This fee applies only to those patients wno require and receive frequent 
attention by the physician during the course of rehabilitation with regard to rdiabilitative 
K313 services of physical or occupational therapy, speech therapy and discharge planning 2.50 

PLASTIC SURGERY (08) 

General Listings: 

A085 Consultation ,. 49.20 

A086 Repeat consultation 40.50 

A083 Specific assessment 35.70 

A084 Partial assessment 17.90 

Emergency or O.P.D. - Physician in Hospital But Not on Duty in the Emergency Department 
When Seeing Patient(s) in the Emergency or O.P.D. - use General Listings. 

Non-Emergency Hospital In-Patient Services: (see Preamble, paragraph B.39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C085 Consultation 49.20 

C086 Repeat consultation 40J0 

(1)083 Specific assessment 35.70 

C!084 Specific re-assessment 22.60 

Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. may be claimed 
in Addition to Above Fees - see Preamble, paragraph B.43-46 



172 



O. Reg. 94/89 THE ONTARIO GAZETTE 

CONSULTATIONS AND VISITS 



1027 



Coëe PLASTIC SURGERY (08) • Comt'd. 



C082 
C087 
C089 
C088 



C195 
C395 
Cl% 
C193 
C194 

C192 
C197 
C199 
C198 



W195 
W395 
W196 



N.C. 



Subsequent visks (minor assessments): 
up to five weeks . 



from sixth to thirteenth week indusive (■ 
after thirteenth week (BnxiBHB per i 
Concurrent care (minor assessments) 



ipcrncckSSUt). 
i$lMJt) 



per visit 

per visit 

per visit 

per visit 



IxNig Tens Institntiooal Can • Chroaic «mI Coavalesccat Hospitals, H< 
Patieats Coveted by FTtcaJeJ Care I rgjilaliaa tmà Narw^ HatÊta: 



W085 Consultation 

W066 Repeat consuhatioo. 



forthe Aced 



PSYCHUTRYd») 

GcncralUstiagK 

A195 Consultation 

A395 Limited consultation. 
A 196 Repeat consultation. 
A193 Specific assessment .„ 
A194 Partial assessment . 



Emcrgeacy or O.P.D. - Physiciaa ia Hospital Bat Not oa Daty ia tkc Eawrfeacy DepartaMat 
When Seeing Patient(s) ia the Emergeacy or O.P.D. - use General Listings. 

NoB-Emergeocy Hospital Services: (in-patient, day care, night care, residential care - see 
Preamble, paragraph B39 - for emergency calls or other special visits to patients use Genenl 
listings and Premiums [Preamble, paragraph B.43] when applicable). 

Consultation 



16.70 
16.70 
16.70 
16.70 



49.20 
4030 



111.20 
6730 
6730 
52.40 
2230 



Limited consultation. 
Repeat consultation.. 
Specific assessment ... 
Specific re-assessment . 



Subsequent visits (minor assessments): 
up to five weeks 



from sixth to thirteenth week inclusive (auudrauai per week $50.10). 
after thirteenth week (nuudmom per month $100.20) . 
Concurrent care (minor assessments) 



.per visit 
.per visit 
.per visit 
~. per visit 



Long Terai lastitutjooal Care • Ckroaic aad Coavaksccat Hospitals, Hoaws for the Aged - 
Patieats Covered by Extcaded Care Legislatioa aad Narsiag Homes: 

Consultation 



Limited consultation 

Repeat consuhation 



Other Services: 

Specific assessment with report to referring agency . 



IIIJU 
6730 
6730 
S2.40 
37.70 

16.70 
16.70 
16.70 
16.70 



lUJO 
6730 
6730 



NA-B. 



Preauaau for Special Visits by Physicians, Deteatioa Visits to i.C.U. or CC.U. any be daiaKd 
ia Addition to Above Fees - see Preamble, paragraph B.43-46 



173 



1028 



THE ONTARIO GAZETTE 

CONSULTATIONS AND VISITS 



O. Reg. 94/89 



Code 



A197 
A198 
Note: 



N.C. 
N.C 
K620 
Note: 



K623 



K624 
N.C. 
K629 
Note: 



Notes: 



K197 



K190 



K203 
K204 
K205 
N.C. 



PSYCHIATRY (19) - Cont'd. 

Coûsultation on behalf of disturbed child (including report): 

consultative Interview with parents 

consultative interview with child 

(Assessment conference with parents should be claimed on the basis of family therapy). 
AI97, A198 - are to be considered as consultations. 

Therapeutic supervision with any para-medical organization (health education, correction and 
other community resources) 

Appearance before Advisory Review Board or Review Board - per 1/2 hour or major part 
thereof. 

Consultation for involuntary psychiatric treatment (as mandated by Section 3S(4B) of the Mental 
Health Act) - per 1/2 hour or major part thereof. 

Interviews with relatives on behalf of a patient, C A.S. or legal guardian, etc. - see Practice in 
General Listings (p.3) 

Certification of Mental Illness 

Application for psychiatric assessment, (as mandated by the Mental Health Act) • including 
necessary history, examination, notiHcation of the patient, family and relevant authorities 
and completion of form 1 

Certification of involuntary admission (as required by the Mental Health Act including history 
examination, notification of the patient, family and relevant authorities and completion of 
form 

Certification of incompetence (financial) including assessment to determine incompetence 

All other re-certification(s) of involuntary admission 

Consultation or assessment normally may not be claimed in addition to certification or 

re-certification (same visit). 

Psychotherapy: (See Preamble) 

(1) For electrotherapy fees, see Diagnostic and Therapeutic Procedures. 

(2) Individual psychotherapy rendered in the office or hypnotherapy or counselling are not to be 

claimed in conjunction with other consultations or visits rendered by a physician on the same 
day unless there are clearly defined different diagnoses for the two services. 

(3) When claiming group therapy, either the smaller (4 or 5 people) or larger group (6 to 12 

people) may he claimed for, out not more than one group at the same time. 

(4) Psychotherapy, Hypnotherapy may not be claimed with diagnosis of acne, psoriasis, 

smoking, obesity nor in conjunction with delivery. 

Individual out-patient psychotherapy (including aversive conditioning, narcoanalysis, 

psychoanalysis) per 1/2 hour or major part thereof 

Individual in-patient psychotherapy (including aversive conditioning, narcoanalysis, 

psychoanalysis) per 1/2 hour or major part thereof 

Group psychotherapy - out-patients 

- per member, per 1/2 hour or major part thereof 

- up to six hours per day - 4 people 

-5 people 

- 6 - 12 people 

- per member, per 1/2 hour (seventh to ninth hour per day) 



97.70 
97.70 



N.A.B. 
NA.B. 
49.60 



76.00 



93.70 

NA.B. 

27.80 



49.20 



49.20 



12.30 
10.10 
8.70 
NA.B. 



Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. may be claimed 
in Addition to Above Fees - see Preamble, paragraph B.43-46 



174 



O. Reg. 94/89 THE ONTARIO GAZETTE 1029 

CONSULTATIONS AND VISITS 

Code PSVCHUTRY (19) - CoatU 

Group psychotherapy - in-patients 

- per member, per 1/2 hour or major part thereof 

K200 - up to six hours per day - 4 pe<^ple 12J0 

K201 - 5 people 10.10 

K202 -6- 12 people 8.70 

N.C. - per member, per 1/2 hour (seventh to ninth hour per day) N-A.B. 

K195 Family therapy - out-patients (two or more family members) per 1/2 hour or major part thereof.... 55.90 

K193 Family therapy - in-patients (two or more family members) per 1/2 hour or major part thereof 55.90 

Note: Family therapy should be claimed on the patient's claim card with diagnosis. 

Hypootberapy: 

K192 Individual - per 1/2 hour or major part thereof 4920 

Group - for induction and training for hypnosis (up to ei^ peopk) per 1/2 hour or major part 

K194 thereof - per member 10.10 

RADIOLOGY-DUGNOSnC (33) 

General Listings: 

A335 Consultation 26.60 

A331 MiMT AsscssBwat • sec deflaitioa PreaaMe, pan«rapk B.9(b) 15.10 

N— Ewiriiacy Hospital Service: 

C335 Consukatioo 26.60 

RADUTION ONCOLOGY • (THERAPEUTIC RADIOLOGY) (34) 

General Listings: 

A345 Consultation 102.45 

A745 Limited consultation 6750 

A346 Repeat consultation 67 JO 

A341 General assessment 5Z40 

A340 General re-assessment 37.70 

A344 Partial assessment 22.40 

Noa-EoMTgeacy Hospital la-Patieat Services: 

C345 Consultation 102.45 

C745 Limited consuhatioo 67 JO 

C346 Repeat consuhation 67 JO 

C341 General assessment 52.40 

C340 General re-assessment 37.70 

Subsequent visits (minor assessments): 

C342 up to five weeks per visit 16.70 

C347 from sixth to thirteenth week inclusive (auudaiBBi per week $50.10) per visit 16.70 

C349 after thirteenth week (aaxlBinBi per aMMth $100.20) per visit 16.70 

C348 C^oncurrent Care (minor assessments) per visit 16.70 

EoKrgeacy or O.P.D. • Physician in Hospital But not oa Doty la tbe Emergency DepartoMat 
WWa Seeing Patient(s) in tlie Emergency or O.P.D. - use General Listings. 

Premiaau for Spedal Visits by Physicians, Detcntioa Visits to LCU. or ecu. Bay be daiaMd 
la Additioa to Above Fees • see Preamble, paragraph B.43-46 



175 



1030 THE ONTARIO GAZETTE O. Reg. 94/89 

CONSULTATIONS AND VISITS 

Code RESPIRATORY DISEASE (47) 

For Services not listed, refer to Internal Medicine Section. 

Genera! Listings: 

A475 Consultation 102.45 

A575 Limited consultation 67.50 

A476 Repeat consultation 67.50 

A473 General assessment 52.40 

A474 General re-assessment 37.70 

A478 Partial assessment 22.40 

Non-Emci^ncy Hospital In-Patient Services: (See Preamble, paragraph B.39 • for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C475 Consultation 102.45 

C575 Limited consultation 67.50 

C476 Repeat consultation 67.50 

C473 General assessment 52.40 

C474 General re-assessment 37.70 

Subsequent visits (minor assessments): 

C472 up to five weeks per visit 16.70 

C477 from sixth to thirteenth week inclusive (maximum per wttk $50.10) per visit 16.70 

C479 after thirteenth week (maximum per month SIOOJO) per visit 16.70 

C478 Concurrent care (minor assessments) per visit 16.70 

RHEUMATOLOGY (48) 

For Services not listed, refer to Internal Medicine Section. 

General Listings: 

A485 Consultation 102.45 

A595 Limited consultation 67.50 

A486 Repeat consultation 67.50 

A483 General assessment 52.40 

A484 General re-assessment 37.70 

A488 Partial assessment 22.40 

Emergency or O.P.D. • Physician in Hospital But not oo Duty in the Emergency Department 
When Seeing Patient(s) in the Emergency or O.P.D. • use General Listings. 

Non-Emergency Hospital In-Patient Services: (See Preamble, paragraph B.39 - for emergency 
calls and other special visits to in-patients, use General Listings and Premiums [Preamble, 
piu'agraph B.43] when applicable). 

C485 Consultation 102.45 

C595 Limited consultation 67.50 

C486 Repeat consultation 67.50 

C483 General assessment 52.40 

C484 General re-assessment 37.70 

Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. may be claimed 
in Addition to Above Fees - see Preamble, paragraph B.43-46 



176 



O. Reg. 94/89 THE ONTARIO GAZETTE 1031 

CONSULTATIONS AND VISFTS 

Code RHEUMATOLOGY (48) • Cont'd. 

Subsequent visits (minor assessments): 

C482 up to five weeks per visit 16.70 

C487 from sixth to thirteenth week inchisive (Mudasa per week $50.10) per visit 16.70 

C489 after thirteenth week (maximum per moath SlOO JO) per visit 16.70 

C488 Concurrent care (minor assessments) ~_ per visit 16.70 

Emergency or O.P.D. - PhysicUn in Hospital But Not on Duty in the Emergency Department 
When Seeing Patient(s) in tiK Emergency or O.P.D. - use General Listings. 

UROLOGY (35) 

General Ustings: 

A355 Consultation* 49.20 

A356 Repeat consultation* 40.50 

A353 Specific assessment* £ 36.10 

A354 Partial assessment 17.90 

Non-Emergency Hospital In-Patient Services: (See Preamble, paragraph B J9 - for emergency 
calls and other special visits to in-patients, use (jeneral Listings and Premiums [Preamble, 
paragraph B.43] when applicable). 

C355 Consultation* 4920 

C356 Repeat consultation* „ 40.50 

C353 Specific assessment* 36.10 

C354 Specific re-assessment « — 22.60 

Subsequent visits (minor assessments): 

C352 up to five weeks per visit 16.70 

G357 from sixth to thirteenth week inclusive (maximum per week $50.10) per visit 16.70 

C359 after thirteenth week (maximum per montli $100 JO) per visit 16.70 

C358 Concurrent care (minor assessments) per visit 16.70 

Long Term Institutional Care - Chronic and Convalescent Hospitals, Homes for the Aged - 
Patients Covered by Extended Care Legislation and Nursing Homes: 

W355 Consultation* 4920 

W356 Repeat consultation* 40.50 

•May include physical examination (>ertaining to the genito-urinary tract and when necessary 
such procedures as urethral calibration, catheterization and prostatic fluid examination, but 
not to include endoscopic examination. 



Premiums for Special Visits by Physicians, Detention Visits to I.C.U. or C.C.U. auy be claimed 
in Addition to Above Fees - see Preamble, paragraph B.43-46 



177 



1032 THE ONTARIO GAZETTE O. Reg. 94/89 

LABORATORY MEDICINE 

ANATOMICAL PATHOLOGY, HISTOLOGY AND CYTOLOGY 

(Fees for Diagnostic Interpretation of Laboratory Procedures) 
Preamble 

1. The following fees involve responsibilities for accessioning specimens and interpreting the diagnostic 

descriptions. 

2. On occasion the services provided by the laboratory physician may involve substantially greater profes- 

sional responsibility and expertise than is providea for in these fees. In such cases, the physician may 
claim for these on an independent consideration basis provided that the nature of the services and 
their distinguishing features are adequately described. 

3. The surgical pathology fees are organized according to services requiring increasing expertise and time 

and are defined as loUows: 

Simple specimen - includes gross and, where necessary, microscopic examination and interpretation 
of small tissues requiring less time, effort and professional responsibility than the next category. A 
simple specimen will ordinarily include tissue considered by the physician to be "normal" (e.g. uterine 
tubes, vas deferens, hernial sac, etc.). 

Small or uncomplicated specimen - includes small tissues thought to be abnormal which carry more 
professional responsibihty and effort than those described in the previous category, and in which the 
number of slides is small. As a rule, this category would apply to a single small specimen or to two 
specimens if two tissues are combined on a slide (e.g. skin biopsy, endometrial biopsy). 

Multiple small specimens or curettings requiring multiple slides - includes specimens requiring 
several sUdes e.g. prostate curettinj^ uterine curettings, multiple endoscopic gastrointestinal tract 
biopsies from the same segment of the G.I. tract (multiple specimens or slides). 

4. The physician assumes responsibility for all cytology smears and the listed professional benefits are 

weighted averages of the professional component. These benefits, therefore, are applicable in each 
case whether or not all slides are examined by the physician. 

5. The benefit for seminal fluid examination (complete) is to include sperm count, volume estimation, 

motility and morphology and viscosity. The benefit for seminal fluid examination (L820) carried out 
post-vasectomy is not to be claimed by the operating surgeon unless the patient requires more than 
one office visit post-operatively. 

6. This Preamble is intended to apply to everyone using codes L800 to L848. 

7. The fees tor diagnostic interpretation of laboratory procedures (L800 codes) are net fees and do not 

usually include overhead costs e:g., secretarial, handling and transport of specimen etc.. 

Code Anatomic Pathology - Surgical Pathology 

Diagnostic examinations • see definitions 

L839 - simple specimen 18.00 

L821 - small or uncomplicated specimen 25.60 

L840 - multiple small specimens or curettings requiring multiple slides 44.95 

L822 Operative consultation, with or without frozen section 67.40 

- each subsequent frozen section or direct smear and/or selection of tissue for biochemical 

L823 assay (e.g. estrogen receptors), add 36.00 

L801 Metabolic bone studies 79.40 

L833 Nerve teasing 44.95 

Anatomic Pathology • Cytopathology 

Cervical vaginal specimens (including all types of cellular abnormality, assessment of flora, 

L812 and/or cytohormond evaluation) 4.20 

L805 Aspiration biopsy (lung, breast, thyroid, prostate, etc.) 40.50 

L806 Bronchial, oesophageal, gastric, endometrial or other brushings and washings 15.90 



178 



O. Reg. 94/89 THE ONTARIO GAZETTE 1033 

LABORATORY MEDICINE 

Code ANATOMIC PATHOLOGY • SURGICAL PATHOLOGY - CiMt'd 

Anatomic Pathology-Cytopathology • Cont'd 

L808 Imprint, touch preparation and/or direct smear 12,00 

Sputum per specimen for general and/or specific assessment (e,g. cellular abnormalities, asbestos 

L815 bodies, lipids, hemosiderin, etc.) 8.85 

Smear, specific assessment e.g. eosinophils, asbestos bodies, amniotic fiuid cells for estimation 

L804 of foetal maturation, etc 4.40 

L810 Fluids (pleural, ascitic cyst, pericardial, c.s.f., urine and joint, etc.) 12.00 

Synovial fluid analysis, description, viscosity, mucin dot, cell count, and compensated PL for 

L824 crystals 22.50 

L825 Compensated polarized light microscopy for synovial fluid crystals 11.70 

L819 Seminal fluid analysis for infertility (including count, motility and morphology) 12,00 

Seminal fluid analysis • quantitative kinetic studies iodnding vdodty, linearity and lateral 

L848 head amplitude 26.90 

L820 Smear for spermatozoa - see Preamble, paragraph 5 : 5.60 

Cytogenetics 

L807 Smear for sex chromatin (Barr Body) or Neutrophil drumsticks 430 

L811 Y chromosome 5.60 

L803 Karyotype 67.40 

Special Procedures and Interpretation - Histology or Cytology 

L834 Histochemistry of muscle - 1 to 3 enzymes 21.80 

L835 - each additional enzyme 7.20 

L841 Enzyme histochemistry and interpretation (per enzyme) 10.90 

L837 Immunohistochemistry and interpretation - per marker 10.90 

L817 Anti-tissue antibodies and interpretation - per case 5.60 

L842 Anti-tissue antibodies, screening dilution, titration and interpretation, add 6.00 

Special microscopy of tissues (polarization, interference phase contrast, dark field, autofluor- 

L843 escence or other) and interpretation 18.00 

Spedal microscopy of fluids (polarization, interference, phase contrast, dark field, autofluor- 

L844 escence or other) and interpretation 11.70 

L845 Specimen radiography or microradiography and interpretation 1330 

L832 X-ray diffraction analysis and interpretation 21.80 

L816 Electron microscopy: TEM, STEM or SEM technique 134.85 

Analytical electron microscopy, elemental detection mapping, or electron diffraction, add per 

L831 case 44.95 

L836 Morphometry, per parameter 2230 

L846 Flow cell cytometry and interpretation, per parameter 2230 

L847 CafTeine - halothane contracture test and other confirmatory tests for malignant hyperthermia _ 59.60 

Biochemistry and Immunology 

L827 Interpretation of carcino embryonic antigen (CEA) 4.90 

Interpretation of hormone receptors for carcinoma to include estrogen and/or progesterone 

L828 assays 630 

Hematopathology 

L800 Blood film interpretation (Romanowsky stain) 11.75 

L826 Blood film interpretation (special stain) 10.90 

L802 Bone marrow interpretation (Romanowsky stain) 4030 

Z403 Bone marrow aspiration 30.60 

L830 Terminal transferase by immunofluorescence 10.90 

L838 Leukocyte phenotyping by monoclonal antibody technique 18.00 



179 



1034 



THE ONTARIO GAZETTE 

NUCLEAR MEDICINE - IN VIVO 



O. Reg. 94/89 



Column T - is the technical benefit for the production of records, radiopharmaceutical agents, apparatus, premises, 
technical services, administration and secretarial services. 

Colunm Pi - is the professional benefit for supervision of the procedure, appropriate patient interview and/or ex- 
amination, correlation of related data, interpretation of results, and provision oi a written report. The physician need 
not be continuously present in the nuclear medicine department or private facility while the procedures are being car- 
ried out but must be physically present frequently enough to carry out the appropriate patient interview and/or ex- 
amination and approve, modify or intervene in the procedures as required. 

Column P2 - is the professional benefit for interpretation of results and provision of a written report. If the physician 
does not meet the criteria for Pi or has claimed any visit in conjunction with that Nuclear Medicine procedure, the 
lesser professional fee (P2) will be claimed. 

Notes: 1. The total benefit is arrived at by adding T plus Pi (first code listed, e.g. J802) or by adding T 
plus P2 (second code listed, e.g. J602). 

2. When coding the total benefit use suffix A; when coding technical portion only use suffix B; 

when coding professional portion only use suffix.C. 

3. If quantification or data manipulation is carried out in addition to visual inspection of imag- 

ing studies, add 30% to the appropriate professionjtl benefit except when SPECT is claimed. 
For claim purposes, use prefix "V. Such activity must add significant diagnostic informa- 
tion not available by inspection alone and does not include simple image enhancement tech- 
niques such as smoothing, background subtraction, etc. Recording of images on videotape 
for replay and production of images on the video display of a computer do not in themsel- 
ves justify the additional benefit. 

The claims for cardiac wall motion studies and calculation of ventricular ejection fraction 
(J811 and J813) already include an allowance for data manipulation as a general rule and 
no additional benefit may be claimed. The additional computer benefit may be claimed only 
when additional cardiac quantifications are performed i.e. stroke volume ratio and volume 
response curves and/or phase analysis. 

4. If examination of Brain, Lung, Liver or Spleen is limited to one view, the benefit (T and Pi or 

P2) is to be reduced by 50%. 

5. Repeat studies on the same day may be claimed only after exercise or drug intervention. 

6. The phrase "nuclear medicine specialist" should be interpreted as "nuclear medicine physician" 

since not all physicians practising nuclear medicine are certified as specialists in this dis- 
cipline by the Royal College of Physicians and Surgeons. 

7. When tomographic examination (SPECT) is billed, the 30% add on referred to in paragraph 

3 may not be charged. 

Code CardJovascuiar System T Pi P2 

J802/J602 Venography- peripheral and superior vena cava 91.70 33.80 16.40 

J804/J604 First transit without blood pool images 15.30 16.40 8.70 

J867/J667 First transit with blood pool images 54.60 24.00 12.00 

Cardioangiography - first pass for shunt detection, cardiac 

J806/J606 output and transit studies 90.60 48.00 24.00 

J807/J607 Myocardial perfusion scintigraphy - immediate post stress, resting 207.30 40.40 20.70 

J808/J608 - delayed 76.40 21.80 10.90 

J810/J610 Myocardial scintigraphy - acute infarction, injury 84.00 33.80 16.40 

J811/J611 Myocardial wall motion studies 90.60 48.00 24.00 

J812/J612 - repeat same day (maximum of three repeats) 45.80 24.00 12.00 

J813/J613 Myocardial wall motion studies with ejection fraction 128.80 70.90 36.00 

J814/J614 - repeat same day (maximum of three repeats) 45.80 36.00 18.60 

Detection of venous thrombosis using radioiodinated 

J815/J615 fibrinogen up to ten days 125 JO 36.00 18.60 



180 



O. Reg. 94/89 THE ONTARIO GAZETTE 

NUCLEAR MEDICINE - IN VIVO 



1035 



Code 

J816/J616 
J868/J668 
J869/J669 
J817/J617 
J870/J670 
J818/J618 
J87iyJ671 

J820/J620 
J87Z'J672 



J82yJ621 
J823/J623 
J824/J624 
J873/J673 
J825/J625 
J874/J674 
J826/J626 
J875/J675 
J827/J627 
J829/J629 
J876/J676 
J877/J677 

J830/J630 
J878/J678 
J879/J679 
J83VJ631 
J832/J632 
J833/J633 



J834/J634 
J835/J635 
J880/J680 
J836/J636 
J837/J637 
J838/J638 
J839/J639 
J840/J64O 



J841/J641 
J843/J643 
J847/J647 
J848/J648 
J849/J649 
J881/J681 
J882/J682 



EadocriM Systea 

Adrenal scintigraphy with idochotesteroi 

• with idocholesterol and dexamethasone suppression., 
- with MIBG 

Thyroid uptake ,,., .,. 

-repeat 



367.75 

431.05 

529.05 

27 JO 

14.20 

61.10 



Thyroid scintigraphy with Tc99in or 1-131 

-with 1-123 9820 

Parathyroid scintigraphy - dual isotope technique with T1201 

and Tc99m Iodine 224.80 

Metastatic survey with 1-131 229.10 

GastrointestinaJ System 

Schilling test - single isotope ~™... 42.60 

-dual isotope i. 45.80 

Malabsorption test with c'* substrate 54.60 

- with whole body counting. „ 131.00 

Gastrointestinal protein loss 78.50 

Gastrointestinal blood loss - Cr*' „ 58.90 

Calcium absorption - Ca^^ 58.90 

Calcium absorption/excretion 241.15 

Esophageal motility studies - one or more ^ ^.......^ 114.60 

Gastrointestinal transit 96.20 

Gastrointestinal reflux 54.60 

Gastroesophageal aspiration 38.20 

Abdominal scintigraphy for gatrointestinal bleed - Tc99m 

sulphur colloid or Tc*** 82.90 

- labelled RBCs „ 136.40 

- Le Veen shunt patency 63.25 

Biliary scintigraphy 109.10 

Liver/spleen scintigraphy 76J0 

Salivary gland scintigraphy 91.65 

Genitourinary System 

Dynamic renal imaging 91.65 

Computer assessed renal function (includes first transit) 125.50 

- repeat after pharmacological intervention 43.00 

Static renal scintigraphy 30 JO 

ERPF by blood sample method 38.20 

GFR by blood sample method 38.20 

Cystography for vesicoureteric reflux 114.80 

Testicular and scrotal scintigraphy (includes first transit) 7830 

Hematopoietic System 

Plasma volume 41.45 

Red cell volume „ 45.80 

Ferrokinetics - clearance, turnover, and utilization 381.90 

Red cell, white cell or platelet survival „ 98.20 

Red cell survival with serial surface counts 141.90 

Bone marrow scintigraphy - whole body 109.10 

- single site 80.80 



36.00 
48.00 
42.60 
17.40 
8.70 
31.60 
31.60 

60.00 
44.70 



8.70 

8.70 

8.70 

16.40 

8.70 

8.70 

8.70 

36.00 

89.50 

37.10 

36.00 

24.00 

32.80 
40.40 
36.00 
40.40 
32.80 
31.60 



32.80 
60.00 
17.20 
10.90 
8.70 
8.70 
21.80 
41.45 



8.70 
8.70 
30.50 
24.00 
30 JO 
46.90 
39.20 



17.40 
24.00 
20.70 
8.70 
8.70 
15 JO 
15 JO 

30 JO 
21.80 



8.70 

8.70 

8.70 

8.70 

8.70 

8.70 

8.70 

17.40 

44.70 

17.40 

17.40 

12.00 

16.40 
19.60 
17.40 
19.60 
16.40 
15 JO 



16.40 
27 JO 
8.60 
8.70 
8.70 
8.70 
13.10 
20.70 



8.70 
8.70 
15 JO 
12.00 
15 JO 
22.90 
19.60 



181 



1036 



THE ONTARIO GAZETTE 

NUCLEAR MEDICINE - IN VIVO 



O. Reg. 94/89 



50.20 


25.10 


39.20 


19.60 


46.90 


22.90 


39.20 


19.60 


50.20 


25.10 


39.20 


19.60 


8.70 


8.70 


54.60 


27.30 


38.75 


19.40 


47.30 


23.70 



40.40 


19.60 


46.90 


22.90 


44.70 


21.80 


31.60 


15.30 


55.60 


27.80 



Code HcBMtopoirtk System - CoDtU T 

J883/J683 In-Ill leukocyte scintigraphy - whole body 347.00 

J884/J684 - single site 305.60 

Musculoskeletal System 

J850/J650 Bone scintigraphy - general survey 98.80 

J851/J651 - single site 80.80 

J852/J652 Gallium scintigraphy - general survey 169.20 

J853/J653 - single site 117.85 

J854/J654 Bone mineral density by single photon method 29.50 

J855/J655 Total body calcium - neutron activation 185.50 

Bone mineral content by dual photon absorptiometry 

J888/J688 - single site 111.90 

J856/J656 - two or more sites 146.40 

Note: J850/J650 and J851/J651 are not to be billed together. 

J804/J604 may be claimed in addition to J850/J650 or J851/J651 for blood pool study. 

Nervous System 

J857/J657 CSF circulation - with Tc99m or 1-131 HSA 114.60 

J885/J685 - with In-Ill 294.60 

J886/J686 - via shunt puncture 85.05 

J858/J658 Brain scintigraphy 86.20 

J889/J689 HMPAO regional brain perfusion with SPECT 

Note: J889/J869 may not he claimed for hospital in-patients. 

Respiratory System 

J859/J659 Perfusion lung scintigraphy 81.80 38.20 19.60 

J887/J687 Ventilation lung scintigraphy 102.60 38.20 19.60 

J860/J660 Perfusion and ventilation scintigraphy - same day 163.70 49.10 24.00 

Miscellaneous 

J861/J661 Radionuclide lymphangiogram 106.90 56.70 28.35 

J862/J662 Ocular tumour localization 72.00 63.25 31.60 

J864/J664 Tear duct scintigraphy 92.80 45.80 22.90 

J865/J665 Total body counting 179.00 51.30 26.20 

J866/J666 Tomography (SPECT) 41.45 24.00 12.00 

CLINICAL PROCEDURES ASSOCIATED WITH DIAGNOSTIC NUCLEAR MEDICINE PROCEDURES 

Such procedural benefits are intended for the professional service of placing an instrument or introducing diag- 
nostic radiopharmaceuticals. They are not intended to be used for simple subcutaneous, intramuscular or intravenous 
injection nor for oral administration. Rather than double listing the procedures and benefits in this part of the fee 
schedule, physicians are directed to the following reference points in the schedule. 

a) Intra-articular injections - G370 on page 76 

b) Injection into CSF spaces or shunt apparatus - Z801 or Z821 on page 185 & 186 

c) Arterial punctiu-e - Z459 on pages 63 & 66 

d) Paracentesis in conjunction with shunt patency study - Z590 on page 160 

NUCLEAR MEDICINE • IN VITRO - see Radioassays under Laboratory Medicine. 



182 



O. Reg. 94/89 THE ONTARIO GAZETTE 1037 

RADIATION ONCOLOGY (THERAPEUTIC RADIOLOGY) 

Code RADIOTHERAPY (Including Therapeutic IsoCopes) 

The listed benefits are for the professional services of a certified therapeutic radiologist, the services of a 
specialist for the intracavitary or interstitial application of radium or sealed sources and the services of 
a specialist using non-sealed sources of radioisotopes in a laboratory authorized by the Atomic Energy 
Control Board of Canada. Other medical services to the patient are not included m these figures. Tne 
cost of material is additional. 
Note: (1)X301, X302, X304 & X322 may not be claimed from OHIP by the staff of OCTRF Cancer Centres 

or OCI/PMH. 
(2)X305, X306, X323, X324, X334 - May only be performed on an in-patient and when done in hospital, 

this service is a hospital charge and cannot be claimed from OHIP (see OHIP Bulletin #4070). When 

done in an OCTRF Cancer Centre or OCI/PMH, may be claimed from OHIP by all physicians, 

including certified therapeutic radiologists. 

TELERADIOTHERAFY 

Major treatment planning (ISO KVP or higher), dosage calculation and preparation of 
X301 any special treatment device 56 JO 

Teleradiotherapy - x-ray, 151 KVP or higher, radium, cobalt, cesium betatron linear 

X302 accelerator - benefit per treatment visit 14.50 

X304 Minor teleradiotherapy - x-ray, 150 KVP or less - benefit per treatment visit 950 

Intracavitory contact x-ray therapy including sigmoidoscopy or proctoscopy 

X305 - first application 13530 

X306 -repeat application 67.70 

Note: For minor teleradiotherapy administered by other than certified therapeutic radiologists, use the 

listing under Diagnostic and Therapeutic Procedures. 

RADIUM AND RADIOISOTOPES (sealed sources) 
X322 Treatment planning, dosage calculation and preparation of any special treatment device 56.50 

Intracavitary appUcation of radium or sealed sources including dilatation and curettage carried 

out at the same time as application 

X323 - first application 166.20 

X334 - repeat application 83.10 

X324 Interstitial application of radium or sealed radioisotope 166.40 

X325 Application of radium or radioisotope plaque or mould 51.40 

Note: X325 may be claimed as an in or out-patient service. 

If claimed as in-patient service, follow directions in Note (2) above. 

If claimed as out-patient service, allow to all listed physicians. 

Payment for out-patient services must be made to the registered Department of Radiology, in the 

case of a hospital, even though there is no technical component listed. 

RADIOISOTOPES (non-sealed sources) 

The following benefits include treatment planning, dosage calculation and preparation of materials. 

Appropriate visit and procedural benefits (e.g. paracentesis) may be claimed in addition. Thyroid 

benefits (X326, X327, X335) include administration(s) within any three month period. 

X326 Thyroid malignancy 74.65 

X327 Hyperthyroidism 68.00 

X335 Induction of hypothyroidism 68.00 

X336 Prostate mali^ancy 68.00 

X328 Polycythaemia 39.70 

X329 Metastatic disease of bone 61.80 

X330 Ascites and/or pleural effusion(s) due to malignancy 48.40 

X332 Arthritis - single or multiple site 31.90 

X333 Metastatic disease with radioactive lymphogram. 48.40 



183 



1038 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC RADIOLOGY 

Column T - The benefit for radiological examination including the production of radiographs, supplying of con- 
trast media, apparatus, premises, technical services, administration and collection costs. 

Column P - The benefit for consultation between radiologist and referring physician, fluoroscopy, interpretation 
of radiographs and fluoroscopic fmdings and supervision of x-ray services by a radiologist. 

Hospital out-patient technical fees will be paid at 92.86% of the technical fee listed in this Schedule of 
Beneflts. 

Private offices and hospital out-patient departments will bill Column T plus P. 

When coding the total benefit use suffix A; when coding the technical (>ortion only use sufTix B; when 
coding the professional portion only use suffix C. 

Radiologists should use Column P as a guideline for negotiating remuneration with hospitals. 

Benefits for clinical procedures related to x-ray examinations are listed in the following section, or under 
Diagnostic and Therapeutic or Surgical Procedures. "Clinical Procedures", in this context, are those by 
which contrast media are introduced, except oral or rectal administration for study of the alimentary tract, 
and intravenous injections, which are an integral part of the study, performed by the physician collecting 
the benefit for the procedure. 

If less thaa minimum number of views are performed, reduce listed fees by 25%. 

If the examinations which are rec^uested by the referring physician yield abnormal flndings or if they would 
yield information which in the opmion of the radiolo^st would be insufficient, governed by the needs of the 
patient and the requirements of the referring physician, the radiologist may add further views and claim for 
them (if listed). 

Fee Schedule Interpretations 

1. When a radiologist is asked to x-ray one extremity only, no additional charge should be made for 
comparison x-rays initiated by the radiologist. 

2. Nephrotomography is covered by the listings for intravenous pyelogram and planigram. 

3. A stereo pair is to be counted as two views. 

4. No extra fee should be claimed for rapid sequence I.V.F. 

5. No additional claim is warranted for the use of the image intensifier in diagnostic radiology. 

6. Fluoroscopy claims should not be submitted for any examination performed by the radiologist where 
fluoroscopy is generally regarded as an integral p:ut of the examinations e.g. examinations of the G.I. tract, 
urinary tract, special procedures. 

7. "Colon-air contrast" may be claimed when performed according to generally accepted criteria. The 
colon should be scrupulously prepared. Five to ei^t full size views of the abdomen should be obtained 
after fluoroscopically controlled mtroduction of air and barium. 

8. "Oesophagus, stomach and duodenum, double contrast" presupposes the introduction of gas, the use 
of antifoam agent and a suitable barium mixture. 

9. Abdomen and chest studies should not be routinely done and claimed in gastrointestinal examinations. 

10. Three or more views of the chest should not be done routinely and claimed when a chest examination 
is requested. 

11. Chest studies should not be routinely done and claimed in mammography cases. 

12. Nasal bones or accessory nasal sinuses should not be routinely claimed in skull examination requests. 

13. Abdomen and/or pelvis should not be routinely claimed in lumbar spine examination requests. 



184 



O. Reg. 94/89 THE ONTARIO GAZETTE 1039 

DIAGNOSTIC RADIOLOGY 

14. A survey film of the abdomen is a single view. The ordering of additional films should be left to the 
discretion of the radiolc^jst who should have the power to determine what examination is adequate 
for a specific patient. Obviously, if progress of a long tube is being followed, a survey film is sufficienL 
If, however, an intestinal obstruction is being followed, a single Film is usually inadequate. 

15. Conventional films of the spine should not be routinely done and claimed for before myelography. The 
necessity of having plain film studies of the spine prior to interpreting the myélographie studies is obvious. 
It is not essential, however, that these be done at the institution where the myelogram was done. If they 
have been done at an outside office, then it is a matter for the radiologist and the referring physician to 
have the films available. If they cannot be made available to the radiologist, it is an acceptable practice for 
him to do the required examination of these areas and to claim for them so that they may be available for 
interpretation along with the myélographie study. 

16. Pharynx and oesophagus (cine or videotape) - X106 should not be claimed routinely with X108 and X109 
but only when specifically indicated. 

17. Lumbar or lumbosacral spine (X028) does not include the entire sacnun. An examination of the sacnun 
may be carried out and claimed for only when specifically indicated. 

18. X006 and X007 are not both to be routinely claimed on the same patient but only when specifically ordered. 

19. A maximum of two computed tomography (C.T.) examinations per patient per day may be claimed. 

20. Complex head C.T. scans are meant to be multiplaner (multidirectional) head C.T. scans - to include one 
or more of the following areas: pituitary fossa, posterior fossa, internal auditory meati, orbits and related 
structures, the temporal bone and its contents and the temporomandibular joints. X400, X401 and X188 
are not to be billed in addition to those fees for complex head studies. 

21. All benefits listed apply to unilateral examinations unless otherwise specified. 

22. Claims for X-ray services, when referred by an Osteopath, Chiropodist or Chiropractor to a private X-ray 
facility are not benefits of OHIP. 

23. Claims for X-ray services, when referred by an Osteopath or Chiropractor to a hospital out-patient 
department are benefits. 

Code Head and Neck T P 

XOOl SkuU -four views „ 30.65 10.70 

X009 - five or more views 38.20 1320 

X003 Sella turcica (when skull not examined) „ 15 JO 520 

X004 Facial bones - minimum of three views 2220 8 JO 

X005 Nose - minimum of two views 15 JO 520 

X006 Mandible - minimum of three views (uni or bilateral) 22.20 8 JO 

X012 - four or more views 30.65 10.70 

Temporomandibular joints - minimum of four views including open and closed 

X007 mouth views 22.20 8J0 

X006 Sinuses - minimum of three views 2220 8 JO 

XOIO Mastoids - bilateral - minimum of six views 29.40 11.55 

XOll Internal auditory meati (when skull not examined) 22.20 8 JO 

N.C. Teeth, up to 1/4 set NA.B. N^^.B 

N.C. Teeth, up to 1/2 NA.B. Nj\.B. 

N.C. Teeth, fuU set NA.B. N.A.B. 

N.C. Teeth, bite wing ..„ NA.B. NA.B. 

X016 Eye, for foreign body 1520 7J0 

X017 Eye, for localization, additional 15.60 18.90 

X018 Optic foramina 1720 7J0 

X019 Salivary gland region 14.10 6.40 

X020 Neck for soft tissues - minimum of two views 14.10 6.40 



185 



1040 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC RADIOLOGY 

Code Spine and Pelvis T P 

X025 Cervical spine - two or three views 26 JO 6.40 

X202 - four or five views 34.20 8.60 

X203 - six or more views 41.40 10.60 

X027 Thoracic spine - two views 24.30 6.40 

X204 - three or more 31.90 8S) 

X028 Lumbar or lumbosacral spine - two or three views 26.50 6.40 

X205 - four or five views 34.20 8.60 

X206 - six or more views 41.50 10.70 

X032 Entire spine - (scoliosis series) minimum of four views 54.95 16.70 

X033 - Orthoroentgenogram (3 foot film) - single view 22.20 8.30 

X031 - two or more views 30.60 10.50 

X034 Sacrum and/or coccyx - two views 25.60 5.20 

X207 - three or more views 31.90 8.50 

X035 Sacro-iliac joints - two or three views 22.20 8.30 

X208 - four or more views 29.70 10.50 

X036 Pelvis and/or hip(s) - one view 15.30 5.20 

- two views (e.g. A.P. and frog view, both hips; or A.P. 

X037 both hips plus lateral one hip) 28.50 7.40 

- three or more views (e.g. pelvis and sacro-iliac joints, 

X038 or A.P. both hips plus lateral each hip) 32.70 8 JO 

Upper Extremities 

X045 Clavicle - two views 1530 5.20 

X209 - three or more views 2350 7.10 

Acromioclavicular joints (bilateral) with or without weighted distraction 

X046 - two views 22.20 8.30 

X210 - three or more views 30.40 10.50 

X047 Sternoclavicular joints - (bilateral) - two or three views 18.30 6.40 

X211 - four or more views 26.40 8.50 

X048 Shoulder - two views 18.30 6.40 

X212 - three or more views 26.40 8.50 

X049 Scapula - two views 18.30 6.40 

X213 - three or more views - 26.40 8.50 

X050 Humerus - including one joint - two views 15 JO 5.20 

X214 - three or more views 23.50 730 

X051 Elbow - two views 1530 5.20 

X215 - three or four views 23.50 730 

X216 - five or more views 31.60 9.40 

X052 Forearm - including one joint - two views 15.30 5.20 

X217 - three or more views 23.50 730 

X053 Wrist - two or three views 15.30 5.20 

X218 - four or more views 23.50 730 

X054 Hand - two or three views 15.30 5.20 

X219 - four or more views 23.50 730 

X055 Wrist and hand - two or three views 22.20 10.50 

X220 - four or more views 28.35 12.50 

X056 Finger or thumb - two views 11.80 3.70 

X221 - three or more views 15.30 5.20 



186 



O. Reg. 94/89 THE ONTARIO GAZETTE 1041 

DIAGNOSTIC RADIOLOGY 

Code Lower Extremitks T P 

X060 Hip - (unilateral) - two or more views 24 JO 6.20 

X063 Femur, including one joint - two views » 1530 5.20 

X223 - three or more views 23.50 7.30 

X065 Knee (including patella) - two views 1530 5.20 

X224 - three or four views „ 23.50 730 

X225 - five or more views 31.60 9.40 

X066 Tibia and fibula (including one joint) - two views 1530 5.20 

X226 - three or more views 2330 730 

X067 Ankle - two or three views ^ 1530 5.20 

X227 - four or more views 2350 730 

X068 Calcaneus - two views 1530 5.20 

X228 - three or more views 23.50 730 

X069 Foot - two or three views „ 1530 520 

X229 - four or more views a 23.50 730 

X072 Toe - two views 11.80 3.70 

X230 - three or more views 1530 5.20 

X064 Leg length studies (orthoroentgenogram) 22.20 830 

Skeletal Surveys 

Skeletal survey for bone age 

X057 - single fibn 1530 5.20 

X058 - two or more films or views 22.40 830 

Other survey studies - e.g., rheumatoid, metabolic or metastatic 

X080 -basic 7.60 2.70 

X061 - plus per film or view 7.60 2.70 

Chest 

N.C. Miniature chest film - for survey purposes only N.A.B. N.A.B. 

X090 Single film 1530 5.20 

X091 Two views 22.50 8.45 

X092 Three or more views 28.90 10.00 

X039 Ribs - two or more views 1830 630 

X040 Sternum - two or more views 1830 630 

X0% Thoracic inlet - two or more views 1530 5.20 

Abdomen 

XlOO Single view 1530 5.20 

XlOl Two or more views 23.40 730 

G.I. Tract 

X105 Palatopharyngeal analysis (cine or videotape) 30.20 21.00 

X106 Pharynx and oesophagus (cine or videotape) 30.20 21.00 

X107 Oesophagus - when X103, X104, X108 or X109 not billed 27.40 13.60 

X108 Oesophagus, stomach and duodenum - including survey film if taken 47.50 2430 

Oesophagus, stomach and duodenum - double contrast, including survey film, if 

X104 taken 49.40 26.60 

Oesophagus, stomach and duodenum - double contrast, including survey film, if 

X103 taken, and small bowel 62.50 33.75 

X109 Oesophagus, stomach and small bowel 6035 3130 

XI 10 Hypotonic duodenogram 40.40 21.00 



187 



1042 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC RADIOLOGY 

Code G.I. Tract • Cont'd. T P 

Xlll Small bowel only - when only examination performed during patient's visit 27.40 13.60 

X112 Colon - barium enema (including survey film, if taken) 49.50 22.10 

X113 Colon - air contrast, primary or secondary, mcluding survey films, if taken 62.60 28.60 

X114 Gallbladder (one or multiple day examinations) 30.65 10.70 

X120 Gallbladder (one or multiple day examinations with preliminary plain film) 40.80 10.70 

X116 T-tube cholangiogram 22.20 830 

X117 Operative cholangiogram 22.20 830 

X118 Intravenous cholangiogram 50.70 18.90 

X123 Operative pancreatogram or E.R.C.P 22.20 830 

G.U. Tract 

X129 Retrograde pyelogram, unilateral or bilateral 22.20 830 

X130 Intravenous pyelogram including preliminary film 50.80 21.00 

X137 Cystogram (catheter) 24.40 6.30 

X135 Cystourethrogram, stress or voiding (catheter) 2830 12.50 

X131 Cystourethrogram (non-catheter) 5.95 4.30 

X191 Intestinal conduit examination or nephrostogram 22.20 8.30 

X138 Percutaneous antegrade pyelogram 22.20 830 

X139 Percutaneous nephrostogram 22.20 8.30 

X134 Urethrogram (retrograde) 18.30 630 

X136 Vasogram 1830 630 

Obstetrics and Gynaecology 

X143 Survey fihn 15.30 5.20 

X144 Pelvimetry 22.20 8.30 

X147 Hysterosalpingogram 30.60 10.50 

X148 Intra-uterine foetal transfusion - radiological control 40.40 21.00 

Fluoroscopy - by physician with or without spot films 

X195 Chest 9.50 lOJO 

X196 Skeleton 9.50 10.50 

X197 Abdomen 9.50 10.50 

X189 Fluoroscopic control of clinical procedures done by another physician per 1/4 hour 7.50 17.60 

Special Examinations 

X155 Abdominal or pelvic pneumogram 41.00 10.50 

Angiography 

- by catheterization 

- abdominal, thoracic, cervical or cranial 

- using single films 

X179 non-selective 30.60 10.50 

X180 selective (per vessel to max. of 4) 40.40 21.00 

- using film changer, cine or multiformat camera 

X181 non-selective 61.15 21.00 

X182 selective (per vessel to a max. of 4) 81.40 31.50 

X140 selective (6 or more vessels) I.C. I.C. 

X178 Intravenous angiocardiography - with quantification - 31.80 

X172 - without quantification - 23.80 

Carotid angiogram - direct puncture 

X160 -unilateral 50.15 31.50 

X161 -bilateral 80.60 47.40 



188 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

DIAGNOSTIC RADIOLOGY 



1043 



Code Spedal fjowiutiou • Coat'd. 



X174 
X175 
X198 
X199 

X132 
X133 
X156 
X200 
X157 
X158 
X159 
X162 
X122 



X400 

X401 
X188 
X402 
X4QS 
X408 
X403 
X404 
X124 
X406 
X407 
X125 
X409 
X410 
X126 
X231 
X232 
X233 
X412 
X413 
X127 
X415 
X416 
X128 

xia 



X151 
X163 
X164 
X167 
X169 
X170 



Peripheral angiogram 

- unilateral 

- bilateral 



Splenoportogram 

Translumbar aortogram. 

Vertebral angiogram - direct puncture or retrograde brachial injection 

-unilateral „ 50.15 

- bilateral 

Arthrogram, tenogram or bursogram ... 

- with fluoroscopy and complete positioning throughout by physician 37.70 

Bone density (mineral content) measurement 
Bronchogram - unilateral 

- bilateral 
Cerebral stereotaxis 
Cholangiogram, percutaneous trans-hepatic 

CaailNited toaograpky 
-head - without I. V. contrast . 

- with I.V. contrast . 

- with and without I.V. contrast 

-complex head (See Preamble, paragraph 20) - without I.V. contrast.. 

- with I.V. contrast . 

- with and without I.V. contrast, 
•neck • without I.V. contrast.. 

• with I.V. contrast . 

• with and without I.V. contrast, 
-thorax - without I.V. contrast.. 

- with I.V. contrast 

- with and without I.V. contrast, 
-abdomen - without I.V. contrast 

- with I.V. contrast . 

• with and without I.V. contrast. 
•pcMs • without I.V. contnst 

- with I.V. coBtrast 



• with mad without I.V. contrast . 
-extremities (one or more) - without I.V coitfrast . 

- with I.V. contrast . 

- with and without I.V. contrast, 
-spine -without I.V. contrast 

- with I.V. contrast . 

- with and without I.V. contrast. 
• C T. guidance of biopsy 



MisceUaaeoos ExuBlaatioBS 

Cordotomy, percutaneous. 

Dacrocystogram.. 

Discogram(s) - one or more levels . 

Fistula or sinus. 

Laminogram, planigram, tomogram . 

Laryngogram.... 



30.60 


lOJO 


40.40 


21.00 


60.60 


21.00 


60.60 


21.00 


50.15 


31J0 


82.00 


47.40 


26.90 


23.15 


37.70 


33.70 


34 JO 


16.70 


30.10 


21.00 


39.90 


3150 


61.15 


21.00 


30 JO 


15 JO 


. 


40.10 


- 


60 JO 


- 


70 JO 


- 


60.20 


- 


70 JO 


. 


80 JO 


- 


40.10 


- 


6020 


- 


70 JO 


- 


60.20 


- 


70 JO 


- 


80 JO 


- 


80 JO 


- 


90.40 


- 


100 JO 


- 


80 JO 


- 


90.40 


. 


100 JO 




40.10 


- 


60 JO 


- 


70 JO 


. 


80J0 


- 


90.40 


- 


lOOJO 


- 


3L80 


50.15 


3150 


30.60 


1050 


30.10 


21M 


27,70 


8J0 


41.00 


1050 


30.10 


2L00 



189 



1044 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC RADIOLOGY 

Code Miscellaneous Examinations • Cont'd. T P 

X171 Lymphangiogram 50.70 21.00 

X192 Mammary ductography 22.20 8.30 

X184 Mammogram - dedicated equipment - unilateral 25.40 11.55 

X185 - bilateral 37.80 17.40 

X186 - using xeroradiography - unilateral 31.45 11.55 

X187 - bilateral 48.30 17.40 

X150 Mechanical evaluation of knee 26.20 14.70 

X193 Microradioscopy of the hands 15.05 10.50 

X173 Myelogram (spine and/or posterior fossa) 35.90 25.30 

X190 Pantomography 18.30 6.30 

X154 Penis 16.40 4.20 

X165 Photographic subtraction - 10.50 

X176 Sialogram 30.60 10.50 

X177 Skin thickness measurement 16.10 8.30 

X183 Ventriculogram : 50.15 31.50 

X166 Examination using portable machine "in home", add to first examination only 64.80 

Note: This code does not apply to the use of a portable machine in a hospital. Can only be claimed 
once per day regardless of the number oi people x-rayed in the same "home". 



190 



O. Reg. 94/89 THE ONTARIO GAZETTE 1045 

CLINICAL PROCEDURES, ASSOCL\TED WITH 
DIAGNOSTIC RADIOLOGICAL EXAMINATION 

Note 1. These procedural fees are intended to cover compensation for the professional ser- 
vice of placing an instrument and introducing contrast media if done (except oral 
or rectal administation for study of the alimentary tract). Injection of materials to 
enhance the effect of contrast media is included m the procedure benefits. 

2. Radiological charges are additional: see similar entries under Diagnostic Radiology. 

3. Where similar procedures are done for diagnostic physiological studies of non-radiological 
nature, e.g. cardiac catheterization or intra-arterial infusion, they are listed 

separately under Surgery or Diagnostic and Therapeutic Procedures. 

Code Sbsci Aaass. 

Angiography 

- by catheterization 

- abdominal, thoracic, cervical or cranial 

J021 Insertion of catheter (including cut down, if necessary) and injection, if given 99.90 5 

Selective catheterization - add to catheter insertion fee (per vessel to maximum of four), 
J022 each 49.40 

Selective catheterization (spinal and parathyroid angiography) - add to 
J014 catheter insertion fee - per vessel each 24.70 

('Selective' means manipulation of the catheter from the vessel of introduction into a 

branch, tributary, or cardiac chamber with angiogram($)). 

J031 Carotid angiogram - direct puncture 78.80 5 

J019 Non-selective intravenous angiocardiography, including quantiTication 115.9S S 

Transluminal angioplasty including angiography with or without pressure 
J025 measurements - one or more sites or vessels 25730 5 

Note: J021 & J022 may not be claimed with J02S 

J048 Percutaneous trans-hepatic catheter portal venography 200.90 5 

J027 Peripheral arteriogram - direct puncture 49.40 4 

J026 Peripheral venogram - direct puncture 39.70 4 

Selective coronary catheterization including angiogram, see Z442 and G297, Diagnostic 
& Therapeutic Procedures - Angiography. 

J033 Splenoportogram 78.80 4 

J034 Trans-lumbar aortogram 78.80 5 

J032 Vertebral angiogram - direct puncture or by retrograde brachial injection 78.80 5 

Embolization e.g. for treatment of hemangioma or renal carcinoma 

- Tirst vessel, charge appropriate angiographic procedural and 

J040 radiological fees plus 68.00 

J047 - each additional vessel catheterizcd and occluded, per vessel 31.90 

Intra-arterial infusion of drugs e.g. for control of gastrointestinal haemorrhage - claim 
appropriate angiographic procedural and radiological fees plus a per diem super- 

J023 vision fee of 19.10 

J035 Pressure measurements during angiography» „ 19.10 

JOOl Arthrogram,tenogram or bursogram 19.10 4 

Biliary duct calculus manipulation etc. - see ZS62 listed in Digestive System - Bilary Tract. 

J024 Bronchial brushing - unilateral 78.80 6 

J044 - bilateral 11820 6 

J002 Bronchogram - unilateral „ 23.60 6 

J043 - bilateral 35.60 6 



191 



1046 THE ONTARIO GAZETTE O. Reg. 94/89 

CUNICAL PROCEDURES, ASSOCIATED WITH 
DIAGNOSTIC RADIOLOGICAL EXAMINATION 

Code Snec Ana^ 

J003 Bronchogram with intra-tracheal catheter - unilateral 48.20 6 

J042 -bilateral 72.10 6 

JOSO Carotid or vertebral artery occlusion by detachable balloon - percutaneous 216.40 

J0S3 Cavernosograptay 39.70 

J005 Dacrocystogram 29.40 4 

J006 Discogram - one disc 68.00 4 

J030 - each additional disc 34.90 

J049 Embolization of spinal arteriovenous malformation - percutaneous 308.90 S 

J036 Fistula or sinus injection 19.10 

J008 Hystcrosalpingogram 39.70 4 

J004 Intramammary needling for localization under mammographie control 29.40 

J009 Laryngogram 23.60 

JOIO Lymphangjogram - per side 68.00 

J037 Mammary ductography 29.40 

JOll Myelogram 68.00 4 

J038 - with supine views requiring removal and re-introduction of spinal needle, add 19.00 

J020 - with posterior fossa views, add 19.00 

J012 Nephrotomogram - 4 

J060 Nephrostogram 19.00 

J045 Percutaneous antegrade pyelogram 78.80 4 

J055 Percutaneous Gastrostomy 144.60 

J046 Percutaneous nephrostomy 144.60 4 

J041 Percutaneous removal of intravascular foreign bodies 190.80 I.C. 

J051 Percutaneous spinal cord puncture for syringogram 66.90 4 

J013 Percutaneous trans-hepatic cholangiogram 68.00 4 

J015 Peritoneal pneumogram 29.40 4 

J052 Positive contrast cistemogram 87.60 4 

J017 Presacral insufflation 49.40 4 

J039 Renal cyst puncture 78.80 4 

J018 Sialogram ., 29.40 4 

J007 Tomogram - 4 

J028 Urethrogram, urethrocystogram, or mtestinal conduit examination, cystogram 19.00 

J029 Vasogram 52.60 4 

Intubation of small intestine - see Z540 listed in Digestive System - Intestines (except rectum). 



Code 



Magnetic Resonance Imaging 
OHIP claims for MRI are limited to out patient services only 



X421 - head - multislice S.E. (1 or 2 echoes) - 58.30 

X422 - multislice I.R - 38.00 

X425 - repeat (another plane, different pulse sequence - max. 2) - 29.10 

X431 - neck - multislice S.E. (1 or 2 echoes) - 58.30 

X432 - multisUce I.R - 38.00 

X435 - repeat (another plane, different pulse sequence - max. 2) - 29.10 

X441 - thorax - multislice S.E. (1 or 2 echoes) ; - 68.00 

X442 - multislice I.R - 58.30 

X445 - repeat (another plane, different pulse sequence - max. 2) - 34.00 



192 



O. Reg. 94/89 THE ONTARIO GAZETTE 1047 

CLINICAL PROCEDURES, ASSOCL^TED WITH 
DIAGNOSTIC RADIOLOGICAL EXAMINATION 



Code Ma8^etkRes6M»ccbMti^-C«Bt'd. T P 

X451 - abdomen -multisliccS£. (lor 2 echoes) 6AM 

X452 - multislicc IJ< - 58J0 

X455 - repeat (another plane, different puke sequence - max. 2) 3*M 

X461 - pcKis - muhislicc S£. (1 or 2 echoes) - 6^00 

X462 - multislicc IJl - 5830 

X465 - repeat (another plane, different pulse sequence • max. 2)—......^ 34.00 

X471 - extremities - multislice S£. (1 or 2 echoes) - 5830 

X472 - multislicc IJl - 38.00 

X475 - repeat (another plane, different pulse sequence - max. 2) - 29.10 

- bmited spine (one segment) 

X490 - multislicc S.E. (1 or 2 echoes) 54.40 

X491 - multislicc I.R : 38.40 

X492 - repeat (another plane, different pulse - max. 2) - 27 JO 

- intermediate spine (2 adjoining segments) 

X493 - multislicc S.E - 63.40 

X494 - multishcc I.R - 54.40 

X495 - repeat (another plane, different pulse max. 2) ™. - 3L70 

- complex spine - (2 or more non-adjoining segments) 

X496 - multislicc S.E - - 94J0 

X497 - multishcc I.R - 54.40 

X498 - repeat (another plane, different pulse sequence, max. 2) - 47.60 

X486 When gating is performed, add 30% to Usted fee... » 



193 



K)48 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC ULTRASOUND 

T and P Columns should be interpreted m the spirit of the first two paragraphs in the Diagnostic Radiology 
Preamble, but without limiting the performance of these tests to suitably trained physicians of any one specialty. Fur- 
thermore, the physician must be physically available to approve, modify or intervene in the examination as required or 
the examination must be completely recorded by video/computer methods and reviewed in its entirety by the pnysician. 
No fee (either professional or technical) may be claimed if the physician's only involvement is the interpretation of 
hard copy (films). 

Notes: A-Mode-implies a one-dimensional ultrasonic measurement procedure. 

M-Mode-implies a one-dimensional ultrasonic measurement procedure with move- 
ment of the trace to record amplitude and velocity of^moving echo-produc- 
ing structures. 
Scan B-Mode-implies a two-dimensional ultrasonic scanning procedure with a two- 
dimensional display. All ultrasound examinations mclude a permanent 
record and interpretative report. 
The total benefit is arrived at by adding T plus P. When coding the total benefit use 
sufîix A; when coding the technical portion only use suffix B; when coding the 
professional portion only use suffix C. 

Code Head and Neck T P 

JlOO Echoencephalography - midline, A-mode - 4.40 

J122 Brain - complete, B-mode 46.10 27.40 

Echography-ophthalmic (excluding vascular study) 

J102 Quantitative, A-mode 21.80 33.00 

J103 B-scan immersion 42.90 43.90 

J107 B-scan contact 21.70 21.80 

J108 Biometry (Axial length - A-mode) 22.20 22.80 

J105 Face and/or neck (excluding vascular study) 46.20 27.50 

J106 Paranasal sinuses, A-mode 6.35 2.70 

Heart - echocardiography (see listings in Diagnostic and Therapeutic Procedures) 

Thorax 

J125 Chest masses, pleural effusion - A & B-mode 47.60 28.35 

Abdomen and Retroperitoneum 

J135 Abdominal scan, complete 47.60 28.35 

J128 Abdominal scan, limited study (e.g. gallbladder only, aorta only or follow-up study) 31.40 18.80 

Pelvis 

J159 Pregnancy, complete 47.60 28.35 

J162 Pelvic, complete 47.60 28.35 

Pelvis or pregnancy, limited study (e.g. foetal age determination, placental 

J163 localization, I.U.C.D. localization) 31.40 18.80 

J138 Intracavity ultrasound (e.g. transrectal, transvaginal) 47.60 2835 

Vascular System 

Extra-cranial vessel assessment (bilateral carotid and/or subclavian and/or 

J190 vertebral arteries) - Doppler scan or B scan 41.70 19.85 

J191 - frequency analysis 41.70 19.85 

J192 - frequency analysis with Doppler scan 52.40 27.10 

J201 - Duplex scan i.e. simultaneous real time, B mode imaging and spectral analysis 64.60 38.40 

Peripheral artery and/or vein evaluation (not to be billed routinely with J190, J191 or J192) 

J193 - Doppler scan or B scan, unilateral 21.60 16.40 

J194 - frequency analysis, unilateral 14.40 13.50 

J19S • frequency analysis with Doppler scan, unilateral 27.10 22.60 



194 



O. Reg. 94/89 THE ONTARIO GAZETTE 1049 

DIAGNOSTIC ULTRASOUND 

Code Vascnlar Systca • Cont'd. T P 

- Duplex scan Le. simultaneous real time, B-mode imaging and spectral 

J202 analysis, unilateral 

Venous assessment (bilateral - includes assessment of femoral, popliteal and posterior or 
tibial veins with appropriate functional manoeuvres and permanent record) not to be 

J198 claimed during surgery or during patient's post-operative stay m hospital 

J205 Df^pler evaloatioa of organ transptantatloa • arterial aad/or renoos 



Vaacniar laboratory fees 

Ankle pressure determination • not to be claimed during surgery or during the 
J199 patient's post operative stay in hospital 

Ankle pressure measurements with segmental pressure recordings and/or 
J200 pulse volume recordings and/or Doppler recordings ~ 

Ankle pressure measurements with exerdse and/or quantitative measurements 

J196 added to the above 

J197 Penile pressure recordings- two or more pressures. 

J2Q3 Transcutaneous tissue oxygen tension measurements . 

J204 • when done in addition to Doppler studies 

Miscellaneoas 

J180 Echography for placement of radiation therapy fields, scan B-mode . 

J 182 Extremities - per limb (excluding vascular study) 

J127 Breast - scan B-mode (per breast) 

J183 Scrotal - scan 

Ukrasooic guidance of biopsy, aspiration, amniocentesis or drainage 
J149 procedures (one physician only) „ 46.20 27.50 



32.40 


19.25 


7J0 


1150 


21.60 


16.40 


- 


9.00 


19.90 


2530 


7.80 


11.95 


6.75 


9.00 


2330 


6.40 


12.90 


6.40 


34 JO 


21.80 


23.10 


13.80 


23.10 


13.80 


46.20 


2730 



195 



1050 THE ONTARIO GAZETTE O. Reg. 94/89 

PULMONARY FUNCTION STUDIES 

Column T - The benefit for testing including supplying of equipment, premises and technical services. 

Column P - The benefit for professional services including responsibility for quality control and technician train- 
ing, interpretation of the results of the tests, and consultation between the physician responsible for the tests and the 
referring physician concerning the results of the test. 

Notes: 1. The total benefit is obtained by adding columns T and P together. When coding the 
total benefit use suffix A; when coding the technical portion only use suffix B; when 
coding the professional portion only use suffix C. 

2. The benefits for J301, J324, J304 and J327 must be performed with a permanent record and 

represent the best of three recorded test results with or without bronchodilator. 

3. Vital capacity, J301, and flow volume loop, J304, cannot be claimed at the same time. 

4. Each of the following tests designated by an individual code number is considered 

to be specific and requires individual ordering. 

5. Exercise assessment (J315, E450, E451, J316, J317) requires a physician to be in 

attendance at all times. 

6. J309 and J310 cannot be claimed at the same time. 

Code T P 

J301 Vital capacity, FEVi, FEV|/FVC with or without MMEFR(FEF 25-75) calculation 9.20 6.90 

J324 Repeat J301 after bronchodilator 2.70 3.60 

J304 Flow volume loop (FVC, FEVi, FEVi/FVC, V50, V2s) 18.40 D.IO 

J327 Repeat J304 after bronchodilator 2.70 5.20 

J311 Functional residual capacity by gas dilution method 16.00 14.20 

J307 Functional residual capacity by body plethysmography 17.30 14.40 

J305 Lung compliance (pressure volume curve of the lung from TLC to FRC) 5130 43.70 

J306 Airways resistance by plethysmography or estimated using esophageal catheter 15.90 13.00 

J340 Maximum inspiratory and expiratory pressures 2.70 2.70 

J309 Carbon monoxide diffusing capacity by steady state at rest 10.60 8.10 

J310 Carbon monoxide diffusing capacity by single breath method 21.20 14.60 

J308 Carbon dioxide ventilatory response 19.70 13.20 

J328 Oxygen ventilatory response (physician must be present) 19.70 19.70 

Stage I: Graded exercise to maximum tolerance (exercise must include continuous 

J315 heart rate, oximetry and ventilation at rest and at each workload) 61.70 41.20 

E450 J315 plus J301 or J304 before and/or after exercise, add 13.10 6.60 

J315 plus 12 lead E.C.G. done at rest, used for monitoring during the 

E451 exercise and followed for at least 5 minutes post exercise, add 17.90 20.60 

Stage II: Repeated steady state graded exercise (must include heart rate, ventilation, 
VO2, VCO2, BP, ECG, end tidal and mixed venous 

J316 CO2 at rest, 3 levels of exercise and recovery) 88.95 52.25 

J317 Stage III: J316 plus arterial blood gases, pH and bicarbonate or lactate 171.50 103.10 

Assessment of exercise induced asthma (workload sufficient to achieve 
heart rate 85% of predicted maximum; performance of J301 or J304 

J330 before exercise and 5-10 minutes post exercise) 32.90 19.80 

Z459 Arterial puncture for blood gas analysis - 8.30 

J319 Blood gas analysis: pH, PO2, PCO2, bicarbonate and base excess 11.10 

J318 Arterialized venous blood sample collection (e.g. ear lobe) 3.70 

A-a oxygen gradient requiring measurement of RQ by sampling mixed expired 

J320 gas and using alveolar air equation 27.20 10.40 

J331 Estimate of shunt (Qs/Qt) breathing pure oxygen 27.20 13.60 

J313 Mixed venous PCO2, by the rebreathing method 11.10 3.70 



196 



O. Reg. 94/89 THE ONTARIO GAZETTE 

PULMONARY FUNCTION STUDIES 



1051 



Code 

J323 O2 saturation by oximetry at rest, with or without Ch - 

J332 Oxygen saturation by oximetry at rest and exercise, or during sleep with or without O2 

J334 J332 with at least two kveb of supplemental Oz 

J322 Standard O2 consumption and CO2 production 

Non-specific bronchial provocative test (histamine, methyicboline, thermal 

J333 challenge) 

J335 Antigen challenge test 

J341 Trans diaphragmatic pressure measurement 

Home/Self-care ventilation - (to include positive aad aegative respirators aad aegative 
pressure respirators, diaphragmatic pacing devices and oscillating lieds) 

• services rendered by most responsible physician. 

• includes routine clinic visits, home visits, telephone advice, communication with family 
and other medical personnel, care of tracheostomy, counselling/psychotherapy of patients 

J342 and relatives and supervised ventilation when required, per paticat, per week 

Note: When physicians are required to make emergency visits to see patients on horoe/self-care 
ventilation, the appropriate visit and premium fees may be claimed. When the patient 
requires hospitalization, the appropriate fees for daily care and in-bospital ventilation may 
be claimed instead of J342. 



4.20 4.20 

17.40 8.70 

3025 13.10 

5.20 SJO 

47.65 28.00 

51.20 28.00 

51J0 43.70 



27.00 



197 



1052 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

With a few exceptions specifically indicated below, the listed procedural benefits are for the procedure(s) 
alone. Consultations or visit benefits when such services are rendered, may be claimed in addition to tne 
procedural benefits. 

When a procedure(s) is the sole reason for a visit, add G700, the basic fee per visit for those procedures 
marked ( + ) regardless of the number of procedures carried out during that visit. However, il^he patient 
visit is to a physician's office or a diagnostic facility controlled directly or indirectly by a physician who 
has examined (or is about to examine the patient) and referred the patient to such a diagnostic facility, no 
basic fee should be clcdmed under these circumstances. 

Note: G700 is not payable to a hospital department. 

Proced. 

Code Fee Anaes. 

G700 Basic fee per visit for procedures marked ( + ) 4.60 

Fee Schedule Interpretations 

1. Urinalysis and other laboratory tests listed in this chapter, apply when these services are per- 

formed by a physician in his office with or without an associated consultation or visit. The 
same tests Usted in the Laboratory Medicine Section of the Schedule apply to licensed 
laboratories. 

2. Some fees for Diagnostic and Therapeutic Procedures have the technical and professionsd 

components listed separately. The technical component includes the salaries of support 
staff^equipment depreciation or lease costs, supplies and costs associated with the prepara- 
tion of a written report. The professional component includes the clinical supervision of the 
diagnostic facility, mterpretation of the test results and a written report. When only one fee 
is lifted for a service, it represents the professional component only. 

3. The Preamble applicable to Surgical Procedures also applies, where appropriate, to Diagnos- 

tic and Therapeutic Procedures. 

ALLERGY 

Note: If a patient presents for an allergy injection and has an acute infectious condition, 
albeit of the respiratory system, or some other unrelated condition which would have 
otherwise required a separate office visit, the physician is entitled to charge the 
appropriate assessment fee as well as the injection fee. If a patient requires a brief 
assessment of his allergic condition as well as the allergy injection, the physician should 
claim the injection andthe basic fee. 

Drug(s) desensitization, i.e. penicillin, insulin and aspirin in a criticfd care setting under 

G185 direct physician supervision 168.00 

+ G200 Acute desensitization; e.g., ATS, penicillin 7.90 

+ G201 Direct nasal tests, $1.40 each, maximum 4.20 

+ G202 Hyposensitization, including assessment and supervision (one or more injections) 3.50 

G212 - when sole reason for visit (G700 plus G202) 8.10 

Insect venom desensitization (immunotherapy) - per injection (to a maximum of S per 
natient per diem). In addition to G205, after the initial major assessment, a minor or 

G205 partial assessment may be claimed once per day if rendered 11.70 

+ G203 Ophthalmic tests - direct, $1.40 each, maximum 4.20 

+ G204 -quantitative 11.15 

G206 Patch test, $1.40 each, maximum of 35 per year 49.00 

G198 $1.54 each, maximum of 50 per year for industrial or occupational dermatoses 77.00 

+ G207 Bronchial provocative testing - per session (limit of 6 sessions per patient) 12.80 

Serial provocation testing for food colours, food additives and drugs performed by a double 

bhnd technique, placebo control, measured by objective parameters and to include 

G208 documentation - per test administration (maximum 5 per patient per year) per hour 12.60 



198 



O. Reg. 94/89 



THE ONTARIO GAZETTE 



1053 



DIAGNOSTIC AND THERAPEUTIC PROCEDURES 



Code 



G209 
G197 

G 199 
G195 
Gl% 



G213 



Z432 



Proced. 
ALLERGY - Cont'd. Fee Anaes. 

Skin tests provided in physician's office or hospital including physician 

interpretation .70 cents each - technical component, maximum 35.00 

.16 cents each - professional component, maximum 8.00 

Insect venom skin testing provided in physician's office or hospital including physician 

interpretation, $1.14 each, maximum 34.20 

Local anaesthetic hypersensitivity skin test, .95 ccnU each, maximum of 25 per year 23.75 

Penicillin hypersensitivity skin test, .95 cents each, maximum of 15 per year 14.25 

Physical urticaria challenges to include at least 3 of the following: 

- Assessment of dermographic challenge with 100, 250 or 500 gm needle, measuring 

immediate and delayed responses 

- Assessment of pressure challenge with 15 lbs. weight recording onset, peak, duration 

of response - immediate and delayed 

- Assessment of ice cube cold challenges 

- Assessment of choUnergic exercise challenge with use of treadmill or bicycle to target 

pulse rate greater or equal to 120 per minute and profuse sweating 

- Vibration effect of light and water 

- Histamine or methylcholine test 12.60 

ANAESTHESU 

Examination Under Anaesthesia - when sole procedure performed not otherwise listed in 
the Schedule, 
with or without intubation (diagnosis required) 48.40 4 

CARDIOVASCULAR 



Vascular Cannulation 

Z459 Arterial puncture ~ 830 

Cannulation of artery or central vein; e.g^ for pressure measurements or for feeding line, 

G268 including cut down as necessary 28.40 

G309 Umbilical artery catheterization (including obtaining of Wood sample) 41 JO 

+ G480 Venipuncture - infant — 8.40 

+ G482 - child 5.70 

+ G489 - adolescent or adult 2.10 

+G483 Therapeutic venisection 8.80 

G282 Umbilical vein catheterization (including obtaining of blood sample) 18.10 

Insertion of Swan-Ganz catheter (not included in anaesthetic, respiratory or critical care 

Z438 benefits) 147J0 



Note When G296 is done in addition to Z438 use Code G304 instead 

- when dye dilution densitometry done in addition, add, to a max. of 3 times, per 

G304 Swan-Ganz insertion 44.80 

G360 Thermal dilution studies (once a day to a maximum of 5 days) add 44.80 

Z456 Insertion of permanent feeding line; e.g., Hickman or Broviac catheter 123.10 

7A5n Surgical removal of Hickman or Broviac catheter 35.80 

Z446 Insertion of subcutaneous venous access reservoir (chemoshunt) 123.10 

Z447 - revision same site 54.20 

G271 Anticoagulant supervision - long term, telephone advice - per month 9.60 



199 



1054 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 

Code CARDIOVASCULAR - Cont'd. Fee Anaes. 

Blood Transfusions: 

G279 Indirect transfusion 17.00 

G275 Exchange transfusion (procedure only) 186.10 

Assistant at exchange transfusion (see Preamble - paragraph B. 36(f)) 

G280 Intra-uterine foetal transfusion - initial or subsequent 169.40 

G276 Donor cell pheresis (platelets or leukocytes) 13.90 

Therapeutic plasma exchange 

G277 - initial and repeat, to a maximum of 5 per year, each 67.60 

G278 - more than 5 per year, each 34.50 

G272 Manual plasmapheresis I.C. 

Cardioversion: 

Z437 Cardioversion (electrical) - limit of three sessions per pmtient, per day 59.80 5 

Cardiac Catheterization 

When more than one procedure is carried out at one sitting, the additional procedures are 
to be charged at 50% of the listed benefits. 

Hemodynamic/Flow/Metabolic Studies 

Z439 Right heart - pressures only 139.80 5 

Z440 Left heart - retrograde aortic 17630 5 

Z441 - transeptal 249.00 5 

Dye dilution densitometry and/or thermal dilution studies - benefit covers all studies on 

G296 same day in cath lab 92.90 

Note: When G296 is done in addition to Z438 use Code G304 instead 

G299 Oxymetry 92.90 

G289 Pick determination 92.90 

G300 Metabolic studies; e.g., coronary sinus lactate and pyruvate determinations 92.90 

G301 Exercise studies during catheterization 102.45 

G306 Isotope studies during cardiac catheterization ^ 92.90 

G305 Intracardiac phonocardiography 102.45 

Angiography 

G297 Angiograms (any number of injections) 99.90 

Bypass graft euigiogram (including internal mammary artery implant) 

G509 - per graft injection 67.70 

Z442 Selective coronary catheterization - both arteries 243.70 5 

G263 - with drug interventional studies, add 82.10 

Z434 Transluminal coronary angioplasty, one or more sites in a single vessel 397.10 5 

G262 - each additional vessel, add 178.70 

Note: If anatomy unknown at time of procedure, claim G297 at 50%. 

Percutaneous angioplasty including angiography with or without pressure measurements 

Z448 - aortic valve, pulmonic valve, pulmonary branch stenosis 436.80 20 

Z449 - for coarctation of aorta 349.40 20 

Z460 - closure of patent ductus arteriosls with umbrella ......~~.~.... ~.. 317.70 20 

Z461 - mitral valvuloplasty for rheumatic stenosis ~ ~..~ 476.50 



200 



O. Reg. 94/89 THE ONTARIO GAZETTE 1055 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 
Code CARDIOVASCULAR • C<Mt*d. Fe» Anaes. 

Electroph>-siolog> Pacing 

Eadocardial activ-atioo nuppiog (iadades iaacrtkM of ekctrodes aad urytlimia iaductioa) 

G 176 -Atrial 223^ 

G177 -Ventricular 378JM 

G178 - Catheter abtatioo therapy 319J0 

G 179 -repeated 100.90 

Gl LS External cardiac pacing (temporary transthoracic) once per 24 hr. period 42.10 

Note: Not to be claimed in combination with GS21, G522, G523. G395 and G391. 

Electrophysiologic measurements (includes one or all of sinus node recovery times, 
G249 conduction times and refraaory periods). Includes insertion of electrodes _ 210.10 

Induction of arrthymias: To include programmed electrical stimulation, drug provocation 
and cardioversion if necessary, once per patient per 24 hours. Includes msertion of 
G261 electrodes 301J0 

Acute administration of anti-arrthymic drugs with testing of arrthymia inductability: 

G366 Maximum 2 per 24 hours. 134.60 

Note: G261 not to be claimed with G521, G522, G523, G395 and G391. 

Z443 Insertion of temporary endocardial electrode 139.^0 5 

Z431 Repositioning of temporary endocardial electrode 58.40 5 

Endomyocardial Biopsy 
G288 Endomyocardial biopsy - transvascular, right or left 158.80 

Electrocardiography - professional component must include pertinent written interpretation 

G313 E.C.G. - professional component 8.80 

+ G310 - technical component 635 

G175 Insertion of esophageal electrode in monitoring position „ 19.85 

Maximal stress E.C.G. (exhaustion, symptoms or E.C.G. changes) or submaximal stress 
E.C.G. (to tareet heart rate for patient) by a standard technique - with treadmill or 
ergometer ana oscilloscopic continuous monitoring including E.C.G's taken during 
the procedure and resting E.C.G's before and after the procedure - physician must 
be in attendance at all times. The professional component includes the necessary 
clinical assessment immediately prior to testing. 

G315 - technical component 32J0 

G319 - professional rrMnpntwnt 5130 

G316 Vector - technical rnmpnnpnr 16.70 

G335 - professional mmponfiir 9J0 

Dipyramidole Thnllinm Stress Test 

Gill - technical component 39.70 

G112 - professional rrtmprwwnr 6220 

Continuous ECG Monitoring; e.g., Holter 

Level 1 - Reauires a recorder capable of recording or analyzing all beats and trans- 
mitting this information to a scanner which is capable of analyzing or printing 
every beat and also performing a trend anaiysis on the 12 or 24 hour tape periocT 



201 



1056 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 

Code CARDIOVASCULAR - Cont'd. Fee Anaes 

Level 2 - All other 12-24 hour monitoring devices which record only portions of the 
monitoring (>eriod or do not provide trend analysis. 

G650 Level 1 - professional component 43.70 

G651 - technical component - recording 23.70 

G652 - scanning 32.40 

G653 Level 2 - professional component 31.10 

G654 - technical component - recording 22.60 

G655 - scanning 15.50 

Note: For 48 and 72 hour monitoring, reduce second and third professional fee charges by 50%. 

G660 Event recorder - professional component 7.90 

G661 • technical component 4.00 

Interpretation of telephone transmitted E.C.G. rhythm strip 

G320 - professional component (must include pertinent written interpretation) 3.80 

G311 - technical component 1.90 

Single chamber reprogramming including electrocardiography 

G283 - professional component „ 8.65 

G284 - technical component 8.65 

Dual chamber reprogramming including electrocardiography 

G180 - professional component 12.90 

G181 - technical component 11.50 

Pacemaker pulse wave analysis including electrocardiography 

G307 - professional component 8.65 

G308 - technical component 8.65 

Non Invasive Cardiography: 

Note: When more than one procedure of items marked (*) are performed at one sitting, the major 
procedure is to be claimed at full benefit and the remainder at 50% of the listed benefit(s). 

'Phonocardiogram - multiple channel (not less than 3 channels) 

G504 - professional component 15.80 

G505 - technical component 38.40 

G506 (with pharmacologic intervention), add 7.90 

G507 *Apex cardiogram - professional component 9.60 

G508 - technical component 9.60 

Note: Fees for apex cardiography and E.C.G. may be charged when both services are rendered. 

Blood Flow Study (Doppler or other) • uni or bilateral 

* Phlebography and/or carotid pulse tracing (with systolic time intervals) 

G518 - professional component 10.20 

G519 -technical component 10.20 

G502 Carotid phonoangiography - professional component 9.60 

G503 Oculoplethysmography - professional component 9.60 

G120 Impedance plethysmography - professional component 630 

G121 - technical component 1230 



202 



O. Reg. 94/89 THE ONTARIO GAZETTE 1057 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 
Code CARDIOVASCUIAR - CoatU Fee Anaes. 

Ecfaocardiogniphy 

Professional components: Pi is the professional fee for the perfonnanceof some or all of 
the procedure by a suitably trained physician or alternatively, the same physician being 
physically present in the echo-cardiography laboratory to supervise the procedure, interpret 
the results and provide a written report. P2 is the professional fee for interpretation of the 
results (the video tape must be reviewed in its entirety by the physician) and provision of a 
written report by a suitably trained physician. 

GS60 Complete study - 1 dim. - technical compooeat 33.55 

G561 - professional component (Fi) 32.40 

G562 - professional component (Pi) 24.00 

GS66 - 2 dim. - technical component 57.50 

G567 - professional component (Pi) 50.90 

G568 - professional component (P2) .'. 38 JO 

G570 - 1 and 2 dim. - technical component 73.90 

G571 - professional component (Pi). 67 JO 

G572 - professional component (P2) 50.50 

Limited study - 1 or 2 dim. for foUow-up studies - not to be claimed in 

G574 conjunction with pregnancy study - technical component 15.90 

G575 - professional component (Pi or P2) 15.90 

Cardiac Doppler study in conjunction with complete 1 and 2 dim. echocardio- 

G577 graphy studies - technical component 43.60 

G578 - professional component (Pi) 33.70 

Cardiac colour Doppler study in coojunctioa with G570-G572 aad G577, G578 

0576 - technical component 23.80 

G579 Saline study (including venipuncture) - professional component (Pi) 10.40 

Peripheral Arterial and Venous Systems - see listings under Diagnostic Ultrasound. 

CRITICAL CARE 

Life Threatening Emergency Situation - Resuscitation in emergency situation (cardiac 
arrest, massive injury, cardio-respiratory failure, resuscitation of newborn (see 
Preamble relating to Obstetrics), severe shock, coma) includes immediate crisis-related 
examination and usual resuscitative measures and to include as required, defibrillation, 
cardioversion, cut downs, intravenous lines, arterial and/or venous catheters, pressure 
infusion sets and pharmacological agents, urinary catheters, C.V.P. lines, blood gases, 
nasogastric tubes with or without lavage, endotracheal intubation and tracheal toilet. 

G521 benefit per physician - first 1/4 hour 74.65 

G523 - second VA hour 3730 

G522 - after first 1/2 hour (per 1/4 hour or major part - thereoQ 24.60 

Other Resuscitation - includes cutdowns, intravenous lines, arterial and/or venous 

catheters pressure infusion sets and pharmacological agents, urinary catheters, CVJ*. 

lines, blood gases, nasogastric tubes, with or without lavage, endotracheal intubation 

and tracheal toilet. 

0395 benefit per physician - first 1/4 hour 38.40 

G391 - after first 1/4 hour (per 1/4 hour or nu^ part thereof) 19.20 



203 



1058 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 
Code CRITICAL CARE - Cont'd. Fee Anaes. 

Consultation or assessments rendered before or after provision of resuscitative care or 
neonatal intensive care may be claimed on a fee for service basis but not when claiming 
Critical, Ventilatory, Neonatal Intensive Care or Comprehensive Care fees. When 
claiming Critical, Ventilatory, Neonatal Intensive Care or Comprehensive Care fees no 
other Critical Care codes may be claimed by the same physician(s). 

G303 Transthoracic pacemaker - insertion 46.50 

Endotracheal intubation for resuscitation (not to be claimed when followed by a surgical 
G211 procedure) 32.50 

Critical Care • (Intensive Care Unit) - includes provision in an Intensive Care Area of all 
aspects of care of a critically ill patient excluding ventilatory support and includes initial 
consultation and assessment, emergency resusatation, intravenous lines, cut downs, 
pressure infusion set and pharmacological agents, insertion of arterial, C.V.P. or 
urinary catheters and nasogastric tubes, securing and interpretation of laboratory 
tests, oximetry, transcutaneous blood gases and mtracranial pressure monitoring 
interpretation and assessment when indicated (excluding insertion of ICP measuring 
device). These fees are not chargeable for services rendered to stablized patients 
in LCU.'s, or patients admitted mr ECG monitoring or observation alone. 

Physician-in-charge is the physician(s) daily providing the above. 

G400 1st day 191.70 

G401 2nd to 10th days (inclusive) per diem 95.85 

G402 11th day onwards per diem 47.90 

Ventilatory Support (Intensive Care Unit) - includes provision of ventilatory care including 
initial consultation and assessment of the patient, endotracheal intubation with positive 
pressure ventilation including intravenous lines, cutdown, pressure infusion, 
msertion arterial C.V.P. lines, tracheal toilet, use of artifiaal ventilator and all 
necessary measures for its supervision, obtaining and interpretation of blood gases, 
oximetry, transcutaneous blood gas application and assessment. 

Physician-in-charge is the physician(s) daily providing the above. 

G405 1st day 166.10 

G406 2nd to 10th day (inclusive) per diem 83.10 

G407 11th day onwards per diem 55.35 

Comprehensive Care (Intensive Care Unit) - these fees apply to Intensive Care physicians 
who provide complete care (both Critical Caie and Ventilatory Support as defined 
above) to Intensive Care Area patients. These fees include the initial consultation and 
assessment and subsequent examinations of the patient, endotracheal intubation, 
tracheal toilet, artiFicial ventilation and all necessary measures for respiratory support, 
emergency resuscitation, insertion of intravenous lines, cut downs, arterial and/or 
venous catheters, pressure infusion sets and pharmacological agents, insertion of CVP 
lines, defibrillation, cardioversion and usual resuscitative measures, insertion of 
urinary catheters and nasogastric tubes, securing and interpretation of blood gases 
and laboratory tests, oximetry, transcutaneous blood gases, intracranial pressure 
monitoring interpretation and assessment when indicated (excluding insertion 
of I.C.P. measurmg device). These fees may not be claimed for services rendered 
to stabilized patients in I.C.U.'s or patients admitted for ECG monitoring or 
observation alone. 

Physician-in<harge is the physician(s) daily providing the above. 

G557 1st day 279.55 

G558 2nd to 10th days (inclusive) per diem 139.80 

G559 11th day onwards per diem 69.90 



204 



O. Reg. 94/89 THE ONTARIO GAZETTE 1059 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proc«d. 
Code CRITICAL CARE - Coat'd. Fee Anaes. 

If Ventilatory Support only is provided, for example, by the anaesthetist(s), claims should 
then be made under Ventilatory Support. Comprehensive Care fees do not apply. 
Other physicians should then chai^ Critical Care fees or the appropriate consultation, 
visit or procedures. 

The fees under Physician-in-Charge apply per patient treated. Le., while the physician-in- 
charge may change during the course of treatment, the daily fee formula as set out 
shoiud be charged by the physicians involved as if there was only one physician-in- 
charge during the treatment program; in this sense, the daily fees are team fees. 

If patient has been discharged from Unit more than 48 hours and is re-admitted to Unit, 
1st day rate applies again on day of re-admission. The appropriate consultation, pro- 
cedure and visit fees shall apply after stopping Critical Care, Ventilatory Support, 
Comprehensive Care or Neonatal Intensive Care. 

Other physicians apart from those providing Critical Care or Comprehensive Care may 
charge the appropriate consultation, visit and procedure fees not listed in the fee 
schedule for Critical Care. These claims ynll be adjudicated by the Plan on an 
Independent Consideration basis. 

Hyperbaric Therapy (per dive) 

G800 Physician in chamber with patient - per dive, first 1/4 hour 5130 

G801 - after first 1/4 hour (per 1/4 hour or major part thereoO - 25.65 

- after 2 hours in chamber (per 1/4 hour or m^or part 

G802 thcrcoO 51 JO 

G803 For each additional patient treated in the chamber, increase the above fee(s) by 20% 

G804 Physician not in chamber with patient(s) - per dive, first 1/4 hour 38.40 

- after Tirst 1/4 hour (per 1/4 hour or major part 
G805 thereoO 19.20 

Consuhation(s) or assessment(s) and special visit preinium(s) may be claimed on a per 

patient basis when these services are rendered. 

Note: Hyperbaric therapy is not a benefit of OHIP for treatment of some conditions. Please 
refer to OHIP District Medical Consultant for qualifying diagnoses. 

G210 Hypothermia (therapeutic) induction and management 173.10 

Neonatal Intensive Care 

Level A: Full life sumxmI including bvasive monitoring, ventilatory support and parenteral 

alimentation (all modalities) 

G600 - 1st day _ 27935 

G601 - 2nd to 10th days (inclusive) per diem 139.80 

G602 - 11th day onwards, per diem 69.90 

Level B: Intensive care including fuU monitoring both invasive and non-invasive, oxygen 

administration and intravenous therapy, but wiuout ventilatory support 

G610 - 1st day 180.80 

G611 - 2nd day onwards, per diem 51.10 

Level C: Intermediate care including oxygen administration, non-invasive monitoring and 

gavage feeding. 

G620 - 1st day 12120 

G621 - 2nd day onwards, per diem 25 JO 



205 



1060 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 
Code CRITICAL CARE • Cont'd. Asst Fee Aiihps 

The above benefits include the initial consultation or assessment and subsequent 
examination of the patient and, as required, insertion of arterial, venous, C.V.P. or 
urinary catheters, intravenous lines, interpreting of blood gases, nasogastric tubes, 
pressure infusion sets and pharmaceutical agents, endotracheal intubation, tracheal 
toilet, artificial ventilation and all necessary measures for respiratory support. 
These are team fees which apply to neonatologists/paediatricians/anaesthetists pro- 
viding complete care. If ventilator care only is provided by anaesthetists, the above 
listings do not apply. Claims should then be made under Ventilatory Support 
(G405, etc.) with Neonatology Paediatric components billed on a fee for service 
basis. 

If infant has been transferred from one level to another in either direction, up or 
down, second day benefits apply. 

Regular visit and procedure benefits will apply the day following termination 
of Neonatal Intensive Care. 

If patient has been discharged from Unit more than 48 hours and is re-admitted to 
Unit, 1st day rate applies again on day of re-admission. 

The appropriate consultation, procedure and visit benefits shall apply after stopping 
artifiaal respiration or special care. 

When claiming Critical, Ventilatory, Neonatal Intensive Care or Comprehensive 
Care fees no other Critical Care codes may be claimed by the same physician(s). 

Intensive Care Monitoring 

This category excludes Cardio-Pulmonary Resuscitation and Ventilatory Support and 
should be claimed on the basis of the appropriate consultation, procedure and visits 
benefit. 

DIALYSIS: team benefits to include listed items. (This does not include preliminary 
investigation of the case). 

Haemodialysis (to include haemofiltratioo, haemoperfusion) 

R849 Initial and acute (to include surgical components) 

R850 Insertion of Scribner shunt (to be included in the $790.50 initial) 

G325 Medical component (to be included in the $790.50 initial) 

G323 Acute, repeat (maximum of 3) 

G326 Chronic ^. each 

Continuous Haemodiafiitratioa 

G093 Initial and acute. Repeat, maximum of 3 

G094 Chronic 

Slow Continuous Ultrafiltration 

G095 Initial and acute. Repeat, maximum of 3 

G096 Chronic 

Z450 Revision of Scribner shunt - single 

Z451 -both .Z 

Z452 De-clotting of Scribner shunt 

R843 Removal of cannula or A. V. shunt 

R827 Creation of A.V. fistula 4 

Note: R827 - see also listing under Cardiovascular System, Veins-Repair. 

R841 Obliteration of A.V. fistula 

R851 Bypass graft for haemodialysis - synthetic 

R840 - autogenous vein 

R833 Ligation or removail of bypass graft 

G324 Insertion of subclavian or external jugular catheter for haemodialysis 



790.50 


6 


283.80 


6 


506.70 




257.70 




59.20 




506.70 




59.20 




506.70 




59.20 




92.90 


4 


138.00 


4 


84.70 




73.70 


4 


325.40 


6 


74.50 


4 


361.60 


7 


384.30 


7 


74.50 


4 


84.70 





206 



O. Reg. 94/89 THE ONTARIO GAZETTE 1061 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 
Code DIALYSIS - Coot'd. Fee Ana^^ 

G336 -Revision 13-90 

Rg48 Dialysbauinula insertion under vision into central line (exdiidiDgpemitaiieoas) 198J5 4 

G099 Insertion of permanent jugular dialysis catheter 123.10 

Peritoneal dialysis 

G330 Acute (up to 48 hours) includes stylette cannula insertion (temporary) 180.80 

G331 Repeat acute (up to 48 hours) - maximum of 3 162.80 

G332 Chronic (up to 48 hours) - maximum of $168.60 per week. 8430 

R8S2 Insertion of peritoneal cannula by laparotomy 169.40 6 

R853 Insertion of Tenchkov type peritoneal catheter - chronic - by trocar 84.70 4 

R854 Removal of Tenchkov type peritoneal catheter 46.10 

Home/self-care dialysis - services rendered by physida» 

Hemodialvsis and peritoneal dial^is (intermittent peritoneal dialysis and continuous 
ambulatory peritoneal dialysis) - includes routine clinic visits (system/drug/dialysis 
technique/blood work review and physical examination), counselling/psycbotherapy 
of patients and relatives îmd supervised dialysis when required, per patient, 

G333 per week 27.00 

Note: When physicians are reauired to make emergency visits to see patients on any form of 
home/seli-care dialysis tne appropriate visits and premiums are beneHts. When the 
patient requires hospitalization, tne appropiate fees for daily care and in-hospital 
dialysis are benefits instead of G333. 

Home/self-care hemophilia - services rendered by the specialist in charge of the patient. 
Hemophilia infusion - includes routine clinic visits ^s^tem/drii^'mfusions technique/blood 
work review and physical examination), counseilmg/psychotherapy/ genetic counselling 
of patients and relatives and supervised hemophilia infusion when required, per patient, 
GlOO per week 27.00 

Note: When physicians are required to make emergency visits to see patients on any form of 

home/sell care hemophilia infusion, the appropriate visits and premiums may be claimed. 
When the patient requires hospitalization, the appropriate fees for daily care and in-hospital 
infusions may be claimed instead of GlOO. 

ENDOCRINOLOGY AND METABOLISM 

+ G493 ACTH test - single or multiple, per injection 5.75 

+ G337 Antidiuretic hormone response test including the 8 hour water deprivation test 15.40 

Clonidine suppression test (for the investigation of pheochromocytoma) - with physician 

+ G338 present - includes venipunctures 22.60 

Glucagon test 

+ G494 (Typjc A) for carbohydrate response 9.25 

(Type B) for hypertension, pheochromocytoma and insulinoma provocative test 

+ G495 (including cold pressor test) 38.40 

G358 Growth hormone exercise stimulation test with physician present (includes venipunctures) .. 22.60 

+ G340 Histamine test to include a control cold pressor test 41.10 

+ G341 Hypertonic saline infusion test 15.40 

+ G342 Implantation of hormone pellets 28.20 

Insulin hypoglycemia pituitary function test with or without TRH and LHRH alone or in 

+ G497 combination 45.20 

+ G498 Intravenous glucose tolerance test 9.25 

+ G499 Intravenous tolbutamide test 45.20 



207 



1062 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Code ENDOCRINOLOGY AND METABOLISM - Cont'd. Fee Anaea 

+ G513 Pentagastrin stimulation for calcitonin 38.40 

+ G344 Phentolamine test 38.40 

+ G501 TRH or LHRH test, per injection 5^75 

+ G490 Saralasin test 38.40 

Open circuit indirect calorimetry - isothermal environment employing a ventilated hood 

system, to include height and weight of the subject, measurement of subject's body fat 

using four skin folds 

Determination of resting energy expenditure in a patient 12 - 14 hours post prandial 

G515 to include measurement of Q2 consumption and CO2 saturation 42.00 

Measurement of thermic effect of feeding to follow 1 hour measurement of resting energy 
expenditure, subject is given a balanced test meal and then calorimetry measurements 
are taken for two hours, to include timed urine samples (2-3 hours) and urine nitrogen 
excretion measurements in a steady state condition, interpretation of results in context 

GS16 of patient's clinical status and written report 33.60 

GASTROENTEROLOGY 

G349 Oesophageal tamponade (Blakemore bag) - insertion 41.10 

Oesophageal motility study(ies) with manometry 

G350 - standard, with physician in continuous attendance 81.20 

G343 - interpretation only 18.10 

Oesophageal acid perfusion test and/or provocative drug testing with physician in 

G353 continuous attendance 30.70 

G2S2 - interpretation only 9.70 

Oesophageal pH study for reflux, with installation of acid 

G251 - standard, with physician in continuous attendance 30.70 

G351 - with 24 hour monitoring 36.10 

G346 - tracing interpretation only 18.10 

Gastric lavage 

+ G355 (a) diagnostic 8.70 

G356 (b) therapeutic - with or without ice water lavage 30.70 

Gastric secretion studies (Augmented Histamine or Histalog, or Pentagastrin) 

+ G357 - procedure and supervision 17.80 

G352 Biliary tract provocative test with cholecystokinin 8.70 

G354 Anal-rectal manometry with physician in continuous attendance 41.10 

G253 - interpretation only 9.60 

G166 Hydrogen breath test - professional component 9.50 

G167 • technical component 6.35 

GYNAECOLOGY 

G367 Artificial insemination 23.00 

G363 Cervical mucous penetration test 15.80 

G361 Endometrial flushing 15.80 

+ G364 Huhner'stest 15.80 

Z453 Tests of tubal patency e.g. Rubin's 18.10 

G378 Insertion of intra-uterine contraceptive device 19.20 

-I- G362 Insertion of laminaria tent 5.60 



208 



O. Reg. 94/89 THE ONTARIO GAZETTE 1063 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 
Code GYNAECOLOGY - Cont'd. Fee Anaes. 

G365 Papanicolaou smear 4.00 

Note: (The Papanicolaou smear is included in the consultation, repeat consultation, general or 
specific assessment (or re-assessment), partial assessment, aimual health or routine 
post-natal visit when a pelvic examination is a normal part of the foregoing services.) 

INJECTIONS OR INFUSIONS 

+ G369 B.C.G. inoculation, following tuberculin tests 4.80 

Note: Multiple B.C.G. inoculations used for treatment of carcinoma are to be considered 
expermKntal and no claims should be made for this service. 

-^ G370 Bursa, joint, ganglion or tendon sheath and/or aspiration „ 18.10 

G371 - each additional site or area - (maximum $45.10 per visit) 9.00 

Note: G370, G371 - not allowed in addition to surgical benefits when performed at time of surgery. 

Chemoaudeolysis 

Lateral discography 

Z454 - first disc 68.00 4 

G368 - if lumbosacral disc included, „ add 49 J5 

G386 - second and subsequent discs, each _ — 34.90 

Injection for chemonucleolysis 

G392 - initial injection — „~ 46.10 

G393 - any subsequent injection at other levels, each 23.00 

G396 Injections of extensive keloids 22.70 

Z455 - under general anaesthesia 40.70 4 

Intramuscular, subcutaneous or intradermal including interpretation 

G372 - with visit - each injection « 2.10 

Note: Use G372 for rabies injection(s). 

Intramuscular, subcutaneous or intradermal including interpretation 

G373 - sole reason - first injeaion — 4.80 

G372 - each additional injection ~ 2,10 

Intralcsional infiltratioa 

+G375 - one or two lesions ~ — 8.10 

+ Gin - 3 or more lesions 12.10 

G383 - extensive (See Preamble, paragraph B32) — I.C. 

G462 Administration of oral polio vaccine - if only service rendered 130 

G384 Infiltration of tissues for trigger point 8.10 

G385 - for each additional site, add (to a max. of 2) 4.10 

Intravenoos 

-hG376 Infant 9.25 

■¥ G379 Child or adult - 5.60 

Notes: ^1) G376 or G379 apply to ctyoprecipitatc infusion. 

f 2) G376, G379 may not be claimed with G279 nor with x-rays. 

(3) Except for G381, G281, injections into established I.V. apparatus may not be claimed. 



209 



1064 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 
Code INJECTIONS OR INFUSIONS - ContU Fee Anaes. 

Infusion of gamma globulin, Initiated by physician, including preparation and constant 

G389 physician supervision per patient, per day 12.60 

+ G380 Cut down including cannulation as necessary 24.60 

Chemotherapy (marrow suppressant) - with each injection initiated by a physician by 
intravenous uuiision for treatment of malignant or autoimmune disease 

- single injection (for agents other than aoriamycin, cisplatin, bleomycin or high dose 

+ G381 methotrexate) 12.60 

G281 - each additional injection (other than above drugs) 630 

Chemotherapy and patient assessment provided by physician in hospital based clinics or 
to in-patients (the following benefits include patient assessment for a 24 hour period, 
drug administration and establishment of intravenous to a maximum of one fee claimed, 
every two weeks) 

- single agent intravenous chemotherapy i.e. doxonil>icin, daunonibidn, epinibicin, 

G339 mitoxintrone, cisplatin or bleomycin (greater than 10 units per metre square) 42.80 

- multiple agent intravenous chemotherapy including at least one of either doxorubicin, 

daunorubicin, epinibicin, mitoxintrone, cisplatin or bleomycin (greater than 10 units 
G345 per metre square) 57.20 

- special single agent chemotherapy utilizing either high-dose methotrexate with folinic acid 

rescue - methotrexate given in a dose of greater than 1 g/m , high dose cisplatin greater 
than 75 mg/m given concurrently with hydration and osmotic diuresis, high dose 
cystosine, arabinoside (greater than 2g/m ), or high dose cyclophosphamide (greater 

G359 than Ig/m^) 81.20 

G075 Test dose (bleomycin and l-asparatiginase) once per patient per drug ».. 25.25 

Supervision of chemotherapy (marrow suppressant) for maUgnant or auto-immune 

G382 disease by telephone - monthly 10.40 

Varicose veins (maximum per visit - S18.45) 

+ G387 - single injection 9.25 

G388 - multiple (unilateral or bilateral) each additional 4.60 

Note: For spider naevi and veins, see Preamble, Appendix D, paragraph 4. 

Compression sclerotherapy (includes multiple injections, compression bandaging and one 

G536 post injection visit) 69.80 

G537 Repeat compression sclerotherapy 23.30 

Management of parenteral alimentation - physician in charge - not to be claimed in addition 
G510 to hospital visits per visit 19.00 

LABORATORY MEDICINE IN PRIVATE OFFICE 

The following benefits applv to physicians who perform these particular tests in their own 

offices. The L.M.S. Schedule for Laboratory Medicine for these particular tests applies 

to licensed laboratories. 

G013 Aminophylline (theophylline) .NIL. 

GOOl Cholesterol, total 5.00 

Glucose, quantitative or semi-quantitative - see Laboratory Medicine Preamble, 

G002 paragraph 4 1.85 

G481 Haemoglobin screen and/or haematrocrit (any method or instrument) 1.20 

G003 Lactic dehydrogenase (L.D.H.) total 3.70 

G004 Occult blood 1.40 

G005 Pregnancy test 3.55 



210 



O. Reg. 94/89 THE ONTARIO GAZETTE 1065 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 

Code lABORATORY MEDICINE IN PRIVATE OmCE • CwtU Fee Anaes. 

G006 SCOT 3.70 

G007 Urea nitrogen (B.U.N.) 2.20 

G008 Uric add 2.20 

Urinalysis, routine (includes microscopic examination of centrifuged sped men plus any of 

G009 S.G., pH, protein, sugar, haemoglobin, ketones, urobilinogen, bilirubin) 3.90 

GOlO - one or more parts of above without microscopy 1.80 

GOll Fungus culture including KOH preparation and smear 11 JO 

G012 Wet preparation (for fungus, trichomonas, parasites) 1.70 

G014 Rapid streptococcal test 420 

NEPHROLOGY 

Nephrological management of donor procurement - indudes management of the 

neurologically 'dead donor on life support systems, assessment of renal functions 

pre-nephrectomy, pre-nephrectomy immunotherapy, assessment as to potential 

G411 redpients to be called in, etc 174.60 

G347 Renal perfusion with hypothermia for organ transplantation 87.40 

G348 Renal preservation with continuous machine perfusion ^^.^...^^„....„„ 87.40 

Nephrological component of transplantation, including complete patient care for first 48 

G412 hours following transplantation 611.10 

NERVE BLOCKS - not to be charged when used as local anaesthetic for surgical 
procedures. 
Note: Time units are not applicable to nerve blocks. If one physidan gives the anaesthetic and 
another does the nerve block, claim the anaesthetic as Z432 - see Anaesthesia - Diagnostic 
and Therapeutic Procedures. 

G214 Brachial plexus „.. 48.90 

G215 Coeliac ganglion 75J0 

G239 Differential intrathecal spinal block 11430 

G216 Epidural block 67.20 

G245 Epidural or intrathecal injection of sderosing solution. 147.90 

G243 Femoral nerve - unilateral 48.90 

G244 -bilateral 7330 

G246 Introduction of epidural catheter for relief of pain: institution 69.25 

G255 - with insertion of subcutaneous port 173.10 

G125 • when provided during or immediately foliowing an operative procedure 13.90 

- plus hospital visits for each additional visit rendered (to a maximimi 

G247 of 4 visits per day). See also Preamble paragraph B37(y) visit, fees 

G218 Ilioinguinal and iliohypogastric nerves 48.90 

G219 Infraorbital 30.70 

G220 Intercostal nerve 30.70 

G221 - for each additional one, add 15.20 

G222 Intrathecal spinal 67.20 

G225 Mental branch of mandibular nerve 30.70 

G250 Maxillary or mandibular division of trigeminal nerve 67.20 

G241 Obturator nerve - unilateral 48.90 

G242 -bUateral 73.90 

G227 Other cranial nerve block 75.30 

G228 Paravertebral nerve block of cervical, thoradc or lumbar or sacral or cocygeal nerves 48.90 

G123 - for each additional one, add (to a maximum total of $14730) 24.60 



211 



1066 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 

Code NERVE BLOCKS - Cont'd. Fee Anaes. 

G229 Pudendal - unilateral 48.90 

G240 -bilateral 73.90 

Note: - for obstetrical continuous conduction anaes. see P014, P015 listed under Referred 
Services - Obstetrics. 

G422 Retrobulbar injection (not to be claimed when used as a local anaesthesia) 30.70 

G230 Sciatic nerve 48.90 

G226 -bilateral 73.90 

G248 Single shot caudal block done in conjunction with anaesthesia 13.85 

Somatic or peripheral nerves not specifically listed 

G231 - one nerve or site 30.65 

G223 - additional nerve(s) or site(s), add 15.30 

G232 Spleno-palatine ganglion 49.30 

G233 Splanchnic 49J0 

G234 Stellate ganglion 49.30 

G256 Superior laryngeal nerve 30.65 

G235 Supraorbital 30.65 

G236 Sympathetic block(s) (lumbar or thoracic) 49.30 

G237 -bUateral 73.90 

G238 Transverse scapular nerve 49.30 

G217 Trigeminal ganglion 76.00 

When alcohol or other sclerosing solutions are used, add 50% to the appropriate nerve 
E958 block fees as listed above with the exception of fee codes G245 and G246 

NEUROLOGY 

G273 Epidural injection of adrenal steroid or autologous blood 66.80 

G274 - post laminectomy into operative site 81.60 

Z804 Lumbar puncture 36.90 

Z805 - with instillation of medication 49.30 

G410 Amytal test (Wada) - bilateral-supervision and coordination of tests 61.60 

G413 Electrocorticogram - supervision and interpretation .-. 153.75 

G419 Tensilon test 18.10 

G551 Katzman test (subarachnoid infusion test) including lumbar punctive 153.75 

Electroencephalography 

An EEG consists of at least a twenty minute recording with referential and bipolar 
montages and at least eight channels (except in neonates). Hyperventilation and 
photic stimulation should be done in all cases where clinically possible. 

+ G414 - technical component 23.30 

G415 - professional component 19.85 

G416 - with activating or sleep inducing drugs and/or sleep deprivation, add 14.30 

Note: Use code G416 for sleep recording but not for overnight recording. Use G670 to G680 

for Sleep Studies. 

G417 Inserting subtemporal needle electrodes, add 14J30 

Videotape recording of clinical signs in association with spontaneous EEG, add to routine 
fees, per 1/4 hour (maximum of 1 hour) 

G545 - professional component 13.20 

G540 - technical component 8.80 



212 



O. Reg. 94/89 THE ONTARIO GAZETTE 1067 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 

Code NEUROLOGY • Cont'd. Fee Anaes. 

Radiotelemetry or portable recordings to monitor ^xmtaneous EEC fir(Mn a freely moving 
patient, add to routine fees 

G546 - professional component 26.70 

G542 - technical component . 22.60 

Ambulatory EEG monitoring (12 - 24 hoars) Sleep Staging 

G554 - technical component 45.40 

G555 - professional component 42.00 

Evoked Potentials 

When more than one procedure b ouried oat «t one sitting, the additional proce- 
dures are to be claimed at 50% of the listed fee. 

G137 One Limb - technical component 29.70 

G135 - professional component (Pi) :'. 61.90 

G136 - mterpretation only (P2) 19.20 

G140 Two Limbs - technical component 39 JO 

G138 - professional component (Pi) 78.60 

G139 - interpretation only (P2) ~ 34.90 

Nate Pi may be claimed when physician performs the studies and interprets the results. 

Polygraphic recording of parameters in addition to EEG (such as respiration, eye 

G544 movement, EKG, muscle movements, etc.) add per item (to a maximum of $24 JO) 8.10 

OPHTHALMOIXXÏY 

Note: G424, G423 - Contact Lens Tilting is not a benefit except under certain specific 
conditions. Please check with the OHIP Medical Consultant. 

G424 Contact lens fitting (with follow-up for 3 months) 158.80 

One eye only, when the other eye has been previously fitted by the same 

G423 physician (with foUow-up for 3 months) _~ 82.20 

G4d3 Hydrophilic "Bandage" lens fitting 82.20 

Colour vision detailed assessment (not to be claimed for screening tests such as Ishihara, 

G438 HRR and University, etc.) 40J0 

G437 Dark adaptation curve (Goldmann adaptometer or equivalent) 50.50 

G453 Electro-ociJogram - interpretation fee 37.80 

+ G439 Electro-retinography with report 54.60 

+ G425 Fluorescein angiography 43J0 

+ G444 Fluorescein angioscopy 12.70 

Notr G425, G444 - for bilateral procedures, add 50% of the listed Benefit. 

G426 Glaucoma provocative tests, including water drinking tests 26 JO 

G428 Hess screen examination 12.50 

G427 Ophthalmodynamometry 8.70 

Radioactive phosphorus examination 

G429 - anterior approach 38.60 

G430 - posterior approach 78.20 

G421 Subconjunctival or sub-Tenons capsule injection „ 25.20 

Note: G429, G430, G421 - for bilateral procedures, add 50% of the listed Beneft 



213 



1068 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 

Code OPHTHALMOLOGY - Cont'd. Fee Anaes. 

+ G435 Tonometry 4.60 

(Not to be claimed if done in conjunction with an ophthalmological consultation or specific 
assessment). 

G433 Tonography (to include tonometry) with or without water 17.80 

G436 Visual fields - kinetic (with permanent record) 8.70 

G432 Visual fields - static perimetry 26.30 

G149 Visual Evoked Response - Simple - technical component 17.40 

G147 - professional component (Pi) 13.90 

G148 - interpretation only (P2) 5.55 

G152 Visual Evoked Response - Threshold - technical component 29.70 

G150 - professional component (Pi) 21.80 

G151 - interpretation only (P2) 9.90 

Note: Pi may be claimed when physician performs the studies and interprets the results. 

Botulinum toxin injection of extraocular muscle with electromyographic control per 

G468 muscle(s) 75.40 

OTOLARYNGOLOGY 

G103 Debridement of maxillectomy cavity 5.50 

+ G420 Ear syringing or curetting (not claimed with Z907) - uni or bilateral 5.10 

Diagnostic Hearing Tests (not applicable to fixed level screening audiometry) 
Piu-e tone threshold audiometry with or without bone conduction 

G440 - technical component 8.50 

G525 - professional component 5.30 

Pure tone threshold audiometry (with or without bone conduction) and speech reception 
threshold and/or speech discrimination scores 

G441 -technical component 11.90 

G526 - professional component 11.60 

G528 Automatic tympanometry with hand-held microtympanometer 1.60 

Automatic impedance audiometry - with or without stapedial reflexes and/or compliance 

G442 -technical component 2.70 

+ G529 - professional component 1.70 

G448 Sound field audiometry (infants and children) • technical component 18.00 

G450 - professional component 16.20 

Advanced testing e.g. recruitment, tests of malingering, central tests and stapedial reflex 
decay tests; (not to be billed with G442 and G529) - per test (maximum 3 tests). 

G443 -technical component 7.70 

G530 - professional component 5.40 

G434 Manual Impedance Testing - technical component 7.70 

G527 - professional component 5.40 

Hearing aid evaluation and/or fitting of tinnitus masker ( does not include G526 and G441) 

G447 - technical component 28.80 

+ G531 - professional component 11.70 

Hearing aid re-evaluation and/or re-fitting of tinnitus masker (does not include G526 
and G441) 

G445 - technical component 14.40 

+ G446 - professional component 5.80 



214 



O. Reg. 94/89 THE ONTARIO GAZETTE 1069 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 
Code OTOLARYNGOLOGY -Cont'd. Fee Anaes. 

G 143 Cortical Evoked Audiometry - technical component „ 29.70 

G141 - professional component (Pi) 21.80 

G142 - interpretation only (P2) 9.90 

Cortical evoked audiometry, multiple frequency, (minimum of 4 frequencies in each ear) - 
as required by W.C.B. 

N.C. - technical component Nj\.B. 

N.C. - professional component NA.B. 

G146 Brain Stem Evoked Audiometry - technical component 29.70 

G144 - professional component (Pi) 21.80 

G145 - interpretation only (P2) 14.40 

Note: PI may be claimed when physician performs the studies and interprets the results. 

Electrocochleography (per ear) - to inchide myringotomylf performed 

G815 - technical component 29.70 

G816 - professional component 95.10 

DiagDOStk Balance Tests 

+ G449 Caloric testing without ENG - professional component 6 JO 

G104 Positional testing with ENG - technical component 18.40 

G105 - professional component 16.60 

G451 Caloric testing with ENG - technical component 18.40 

+ G533 - professional component 16.60 

G4S4 Stroboscopy - professional component 15J0 

G191 Optokinetic tests - professional component 11 JO 

G108 Computerized rotation tests - professional component . — „ 18.40 

G109 Posturography - professional component 18.40 

Diagnostic Taste Tests 

+ G452 Elcctrogustometry or conventional taste tests - professional component 13.00 

PHYSICAL MEDICINE 

Electromyography and nerve conduction studies 

When patients are referred directly to EMG and/or nerve conduction facilities solely for 
testing, consultation and visit fees are not benefits in addition to the following fees: 

Schedule A - Complete procedure i.e. conduction studies on two or more nerves 

presumed to be involved in the disease process along with EMG studies 
of multiple muscles and/or detailed studies of neuromuscular transmis- 
sion. It also includes as necessary study of normal nerves and/or opposite 
side for comparison. 

- professional component - when physician performs EMG, performs and/or supervises 

G456 nerve conduction studies and interprets results 89.20 

G459 - interpretation only 19.60 

G455 -technical component 26.80 

Schedule B - Limited procedure i.e. conduction studies on a single nerve (motor and/or 
sensory conduction) and/or limited EMG studies of the involved 
muscle(s) and/or limited neuromuscular transmission study 

- professional component - when physician performs EMG, performs and/or supervises 

G457 nerve conduction studies and interprets results 63.85 



215 



1070 THE ONTARIO GAZETTE O. Reg. 94/89 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 
Code PHYSICAL MEDICINE - Cont'd. Fee Anaes. 

G469 - interpretation only 19.85 

G466 - technical component 18.00 

->- G460 Strength duration and chronaxie - major 7.70 

+ G461 - minor 430 

G458 Single fibre electromyography 168.20 

llierapeutic Procedures 

+ G465 Manipulation (by physician) - major joint(s) or spine - one or more joints 12.50 

(under general anaesthesia, see Surgical Procedures) 

Miscellaneous therapeutic procedures 

+ G467 - as listed below (physician's own patients) 7.10 

Notes: (1) May be claimed by a physician for the following physical medicine procedures 
performed by an appropriately trained paramedic under that physician's direct 
supervision. 

(2) Only one G467 may be claimed per patient visit. 

(3) Not allowed to hospital in-patient, out-patient or approved physiotherapy facility. 
Superficial thermal therapy - radiant, hot pack, whirlpool, paraffin bath, or ice. 
Deep heat - short wave diathermy, microwave diathermy or ultrasoimd. 

Light (Ultraviolet) - general or local application. 

P.U.V.A 

Electrotherapy - Galvanic, Faradic and sinusoidal ciurents, iontophoresis, transcutaneous 

nerve stimulation for relief of pain. 

Hydrotherapy - local (arm or leg) and general (Hubbard) for body immersion; therapeutic 

pool for unoer water exercise. 

Mech<motherapy - massage, mechanical device - traction, pulleys and weights, treadles, 

stationary bicycles, shoulder wheels. 

Therapeutic exercise. 

Location and injection of peripheral motor nerves for reduction of spasticity including 
electrodiagnosis of motor point: 

G485 Major nerve and/or branches 41.00 

G486 Additional major nerve and/or branches „ 25.60 

Repeat procedure within one month 

G487 - major nerve 25.60 

G488 - additional major nerve 16.90 

N.C. Acupuncture: i.e. including insertion of needle(s) into specifically selected point(s) 

combined with manual, electrical or thermal stimulation of the needle(s) for the manage- 
ment of pain, physician N.A.B. 

PSYCHIATRY 

Z458 Electroconvulsive therapy (E.C.T.) cerebral - single or multiple 28.40 3 

Note: Electrosleep therapy or Sedac therapy are not benefits of OHIP. 

SLEEP STUDIES 

Level 1 - Overnight sleep study with continuous monitoring of oxygen saturation and ventilation 
by plethysmography and with technician attendance during study period, to include physician 
attendance at set up, monitoring and interpretation plus additional monitoring to stage sleep 
(EEG, EOG, sub-mental EMG) and continuous monitoring of EGG (special visit premiums 
may not be claimed). 
G670 - technical component 361.40 



216 



O. Reg. 94/89 THE ONTARIO GAZETTE 1071 

DIAGNOSTIC AND THERAPEUTIC PROCEDURES 

Proced. 
Code SLEEP STUDIES -Coot'd. Fee Anaes. 

G671 - professional component - 164.95 

G672 - interpretation only 61.70 

Level 2 - Overnight sleep study with continuous monitoring of oxygen saturation, ECG 

and ventilation by plethysmography and with technician attendance during study period; 

to include physician attendance at set up, monitoring and interpretation, (special visit 

premiums may not be claimed). 

G673 - technical component ~ 226.00 

G674 - professional component 122.30 

G675 - interpretation only 45.70 

Level 3 - Overnight sleep study with monitoring to stage sleep (EEG, EOG, sub-mental 
EMG) and contmuous monitoring of ECG witi techmcian in attendance during study 
period; to include physician attendance at set up, monitoring and interpretation (special 
visit premiums may not be claimed). 

G676 - technical component 184.25 

G677 - professional compKjnent ~ 122 JO 

G678 - interpretation only 45.70 

Multiple Sleep Latency Test 

G679 -technical 67.20 

G680 -professional 47.05 

TELERADIOTHERAPY 

+ G472 Minor teleradiotherapy - X-ray, 150 K.V.P. or less - claim per treatment visit 9.50 

Note: For the first minor teleradiotherapy procedure rendered to a patient, the physician may 
charge the appropriate consultation or assessment fee m addition to the procedural 
fee(s). On subsequent visits, only the minor teleradiotherapy fee plus G700 should 
be claimed unless additional procedures have been performed or unless there has 
been a complication or change to a totally unrelated diagnosis. In the first excep- 
tion, the minor teleradiotherapy plus the benefits for additional procedures maybe 
claimed. In the second exception, the appropriate assessment and minor 
teleradiotherapy benefits may be claimed. 

THERMOGRAPHY (infra-red mammography) • one or more areas 

G491 Technical component 13.50 

G492 Professional component „ 6.75 

UROLOGY 

G484 Cystometrogram with selective sacral nerve block studies 5130 

Cystometrogram and/or voiding pressure studies and/or flow rate with or without postiu-al 
studies and/or urethral pressure profile including interpretation with or without use 

+ G475 of EMG including interpretation 21.60 

Complete multichannel urodynamic assessment - pressure-flow studies, urethral pressure 

G193 monitoring, with or without fluoroscopic cysto-urethrography 30.45 

G194 - with EMG, add to G193 7.60 

+ G474 - urethral pressure profile alone including interpretation 8.10 

- interpretation of comprehensive urodynamic studies (when the procedure is done by 

G477 paramedical personnel) 5.00 

+ G476 Prostatic massage 5.00 



217 



1072 THE ONTARIO GAZETTE O. Reg. 94/89 

OBSTETRICS 

PREAMBLE: 

1. Obstetrical care is divided into its OHupcmeiits. A prenatal major assessment when performed may be claimed; 
it shall comprise a full history, an inquiry into, and an examination of all parts or systems ^d may include a detailed 
examination of one or more parts or systems), an appropriate record and advice to the patient. All other prenatal 
visits shall comprise the necessary history and inquirv, examination, appropriate record, pregnancy related counsell- 
ing and advice to the patient. Nonnal (uncomplicated) prenatal care indudes a prenatal general assessment visit, then 
monthly visits to 32 weeks, followed by visits cverjr 2nd week to 36 weeks, then weekly visits until delivery. However, 
complicated pregnancies may require additional visits. Labour - delivery and postpartum care are listed separately. 

2. If an uncomplicated obstetrical patient is transferred from one physician to another physician for obstetrical 
care, the appropriate assessment benefit may be charged by the second physician, followed by prenatal visits. This 
statement does not apply to physicians substituting for each other or when the second physician sees the patient for the 
first time in labour. If the obstetrical patient is referred to a consultant for obstetrical care because of the complexity, 
obscurity or seriousness of the case, tne consultant may claim a consultation in addition to the prenatal visits. 

3. Ilhiesses resulting from or associated with pregnancy or false labour requiring added home or hospital visits, 
shall be claimed on a per visit basis. 

4. When a pregnant patient visits her physician for a condition unrelated to her pregnancy and apart from her 
routine scheduled prenatsu visits, the physician may charge the appropriate visit benefit. 

5. The listings under the heading Referred Services may be claimed by the consultant physician in addition to the 
appropriate consultation or visit benefit. They may not be claimed by physicians providing obstetrical care to their own 
patients. 

6. If a consultant is requested by another phj^ician to perform a surgical induction of labour, or emergency removal 
of a Shirodkar suture (except at delivery) assuming someone else hjis inserted the suture, the consultant should claim 
consultation benefit for this (these) service(s). 

7. Medical induction or stimulation of labour may be claimed once per pregnancy by any one physician and only 
when carried out for a recognized obstetrical complication(s) and does not qualify for detention benefits. 

8. The listings for "Attendance at labour and attendance at delivery" and for "Attendance at delivery" may not be 
claimed by any physician when a patient is transferred to a second physician for normal obstetrical care. 

9. Ordinary immediate care of the newborn is included in the labour-delivery fee and when the service is rendered 
by the anaesthetist, it is included in the anaesthetic benefit. A life threatening emergency situation requiring active 
resuscitation of the newborn provided by any physician may be claimed under codes G521, G522, G523. When indi- 
cated, endotracheal intubation and tracheo-bronchial toilet should be billed under G211 and not as G521, G522, G523. 

10. When a physician provides newborn care and also performs a circumcision on the same newborn or infant, both 
services may be claimed. 

11. When an obstetrician routinely transfers all newborns to another physician, the latter should not claim consult- 
ation benefit for these "transferrals". If the baby is well, the physician should claim the newborn care in hospital benefit 
plus for attendance at maternal delivery if this service is given. If the baby is sick, the physician may claim a general as- 
sessment and for attendance at maternal delivery (if this service is given) plus daily visits for as long as his services are 
required. If an obstetrician normally cares for newborns himself or trsmsfers the care of newborns to a family physician 
but refers a newborn to a paediatrician because of the complexity, obscurity or seriousness of the case, the latter may 
claim for this service according to the following guidelines: 

a) If attendance at maternal delivery is provided, code H267 may be claimed and if a general assessment of the 
baby is carried out, code C263 may be claimed as well. However, a postnatal consultation of the baby, code C265 may 
not be claimed in addition to code H267. 

b) If a paediatrician has not attended delivery, a postnatal consultation may be claimed (if this service is rendered) 
even though a prenatal consultation may already have been claimed. 



218 



O. Reg. 94/89 THE ONTARIO GAZETTE 1073 

OBSTETRICS 

PREAMBLE: Cont'd 

12. When a physician provides prenatal visits, attends labour, assists or administers the anaesthetic at Caesarean 
section and visits the patient post-operativcly, he is entitled to claim for prenatal visits, attendance at labour, assistant's 
or anaesthetist's benefits for Caesarean section and post-operative supportive care while the patient is in hospital. 

D. Physicians may claim for assisted breech delivery (P020) when the service includes spontaneous delivery to the 
nmbilictis, with extraction of the shoulders, arms and aftercommg head. 

14. The Preamble applicable to Surgical Procedures also applies to obstetrics where appropriate. 

15. The premiiuns applicable to Obstetrics arc as follows: When deliveries and other obstetrical procedures done 
m continuity with the deuvcry occur after 5:00 p.m. and before midnight or on Saturday Sundays and Holidays, in- 
crease the procedural fce(s) by 30% (E409). When time of delivery occurs after midnight and before 7:00 a.m. any 
night during the week, increase the procedural fee(s) by 50% (E410). These premiums may not be claimed in addition 
to the obstetrical procedural fee(s) if labour is induced by medical and/or surgical means by the same physician unless 
the reason for the induction is multiple pregnancy, foetal distress, diabetes, premature rupture of membrane, severe 
pre-eclampsia-hyf)ertension, abruption or post-dates pregnancy. However, a forcwater A.R.M. or oxytocin augmen- 
tation of labour carried out on a patient in desultory labour does not constitute induction. 

Code OBSTETRICAL CARE Asst ObSt'B Amcs 

Prenatal Care: 

P003 - General assessment (major prenatal visit) 44.90 

P0O4 - Minor prenatal assessment (all other prenatal visits) 18.10 

Laboor • Delivery: 

P006 -Vaginal 73830 

PQ20 - Operative delivery i.e. mid-cavity rotation or assisted breech delivery 259.70 5 

ES02 - Following a caesarian section VBAC, add 26.00 

POM - Caesarean section ~ 6 285.90 7 

P041 - Caesarean section including tubal interruption 6 303.00 7 

P042 - Caesarean section including hysterectomy 8 567.85 8 

E500 Multiple births, any method of delivery - each child, extra 129.85 

(If one child is bom vaginally and the other(s) by Caesarean section, claim P018, 
P041 or P042 plus one at 85% of P006 or P020, then E500 for third and 
subsequent births.) 

Attendance at labour only (when patient is transferred to another centre for 

P038 delivery) 99.70 

P009 Attendance at labour with physician in attendance at delivery 23830 

Attendance at labour (when same physician assists or gives anaesthetic at 
Caesarean section or gives anaesthetic at operative delivery and claims 

POll separately for these services as assistant or anaesthetist) 148.60 

POlO Attendance at delivery (attending physician or consultant(s)) 99.70 

Repair of tear or extension of episiotomy to include rectal mucosa, perianal sphincter 

P028 and perineum 7430 4 

Z774 Postpartum haemorrhage -e]q>lorationofvagina and cervix, uterine curettage 83.80 5 

P007 Post natal care in hospital and/or home 4930 

P008 Post natal care in office 22J0 



219 



1074 THE ONTARIO GAZETTE O. Reg. 94/89 

OBSTETRICS 

Code OBSTETRICAL CARE - Cont'd. Aast Obst'n \naes 

Referred Services (I.O.P.) - when only service(s) rendered 

P036 Repair of vaginal laceration 49.50 4 

P039 Repair of cervical laceration 49 JO 4 

P029 Manual removal of retained placenta 49.50 4 

P013 Obstetrical anaesthesia 5 

Continuous conduction anaesthesia 
P014 (a) introduction of catheter for analgesia including first dose 6 

(b) maintenance and/or supervision (one unit for each 1/2 hour to a maximum 

P015 of 5 units) 

ElOOC (c) attendance at delivery - per 1/4 hour - time units 

G224 Pudendal block (bilateral) - see Preamble, paragraph B37(t) 13.90 

High Risli Pregnancies 

Z776 Foetal blood sampling (I.O.P.) 30.30 

Z773 Foetoscopy (may include foetal blood sample, cell harvest or amniocentesis)(I.O.P.) . 148.10 

Z739 Oxytocin challenge test (I.O.P.) 43.30 

Double set up examination to rule out placenta praevia, or trial of forceps 

Z734 - failed leading to Caesarian section (same physician) 51.90 

P022 Oxytocin infusion for induction of labour - see Obstetrics Preamble, paragraph 7 60.60 

P023 Oxytocin infusion for stimulation of desultory labour 60.60 

Pharmacological suppression of premature labour by I.V. therapy - to be claimed 

Z721 once per physician after 3 hours of supervision in same institution (I.O.P.) 60.60 

Z778 Amniocentesis - diagnostic or genetic (I.O.P.) 51.90 

Z779 Chorionic villus sampling (I.O.P.) 83.10 

P031 Suture of incompetent cervix in pregnancy (I.O.P.) cervical cerclage - any technique.. 3 129.85 4 

U.V.C Elective removal of Shirodkar suture visit.fee 

P034 Uterine mversion, manual replacements 111.60 4 

(Listings for ectopic pregnancy, hysterotomy, abortion and postpartum tubal 
interruption are listed under the Female Genital System - Corpus Uteri). 



220 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1075 



PREAMBLE 

FOR DEFINITION OF THE ROLE OF THE REFERRING PHYSICIAN, SEE REFERRING PHYSICL\N 
SERVICES IN THE PREAMBLE, PARAGRAPH B35. 

FOR DEFINITION OF THE ROLES OF THE ANAESTHETIST, SEE ANAESTHETIST SERVICES 
IN THE PREAMBLE, PARAGRAPH B37. 

(1) The surgical benefit (except for those procedures marked I.O.P., Complete Care and Fractures and Disloca- 

tions requiring no reduction) includes hospital visits rendered by the surgeon two days prior to surgery, the 
operative procedure, the post-operative care usually associated with the procedure(s) rendered by the sur- 
geon while the patient is in hospital, and one office visit for follow-up examination, if necessary. If the sur- 
geon is required to perform a procedure(s) not usually associated with the original surgical procedure, he 
may claim for these on a fee for service basis. If spedal visits to hospital are required at any time post-opera- 
tively, the surgeon may claim the minimum special visit premiums even if the basic hospital visit fees may not 
be claimed (under these circumstances the nospital visits should be claimed on an N/C (no charge) basis.) 
The surgical benefit as noted above does not include the major prc-operative visit i.e. the consultation or as- 
sessment fee which may be claimed when the decision to operate is made and the operation is scheduled, 
regardless of the time interval between the major pre-operative visit and surgery. The hospital or day-care 
a<unission assessment (consultation, repeat consultation, general or specific assessment or re-assessment) 
may not be claimed by the surgeon unless it happens to be the major pre-operative visit as defined above. 
Hospital visits (minor assessments) may be claimed for visits rendered more than two days prior to surgery. 
Other visits (excluding admission assessments) prior to admission may be claimed for in addition to the sur- 
gical fee. For patients remaining in hospital because of complications, hospital visit fees may be claimed in 
addition to the surgical or procedural fee after two weeks of post-operative care. Because the number of 
hospital visits is limited to three per week after the fifth week of hospitalization and six per month after the 
thirteenth week of hospitalization, the starting point for calculating tne number of hospital visits is based on 
the date of admission if the operating surgeon has admitted the patient or the date of referral if the patient 
has been referred to the operating surgeon while in hospital. The surgical benefit includes the generally ac- 
cepted surgical components of the procedure. The listed benefit of a procedure normally includes repair of 
any iatrogenic complications occurring during the course of the surgery. 

(2) When a physician makes a special trip to perform a non-elective surgical procedure during the daytime (Mon- 

day to Friday), he should claim the appropriate special visit, a consultation if the case is referred or the ap- 
propriate assessment if the case is not referred plus the procedural benefit(s). If the non-elective procedure 
IS carried out at night (after 5:00 p.m. and before 7.-00 a.m.), or Saturdays, Sundays and Holidays, the physician 
may claim the special visit applicable to the consultation or assessment, and the surgical premium (E409 or 
E410 - see paragraph B.47 of the Preamble). 

(3) When more than one procedure is carried out by a surgeon under the same anaesthesia or within 14 days during 

the same hospitzilization for the same condition, the full benefit applies to the major procedure and 85% of 
the listed benefit(s) applies to the other procedure(s) performed unless otherwise stated in the Preamble(s) 
or Schedule. The above statement applies to staged or bilateral procedures but does not appl^ when a nor- 
mal appendix or simple ovarian or para-ovarian cyst is removed mcidentally during an operation, for which 
no claim should be made. 

(4) When a subsequent operation becomes necessary for the same cooditioo because of a com{^cation or for a 

new condition, the full benefit should apply for each procedure. 

(5) When a subsequent non-elective procedure is done for a new conditioa bv the same surgeon, the full benefit 

will apply to each procedure. When a subsequent elective procedure is done for a different condition within 
14 days during the same hospitalization by the same surgeon, the benefit for the lesser procedure shall be 
reduced by 15%. 

(6) When different operative procedures are done by two dînèrent surgeons under the same Jinaesthesia for dif- 

ferent conditions, the benefit will be 100% of the listed benefit for each condition. Under these circimistan- 
ces, the basic assistant's benefit should not be claimed by either operating surgeon; however time units may 
be claimed. 

(7) As a general rule, when elective bilateral procedures are performed by two surgeons at the same time, one sur- 

geon should claim for the surgical procedures and the other surgeon should claim the assistant's benefit. 



221 



1076 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

PREAMBLE - Cont'd. 

(8) Where two surgeons are working together in surgery in which neither a team fee nor other method of billing 
is set out in the beneHt schedule, the surgeon should identify him/herself as the operating sui^eon and claim 
accordingly; the surgeon who is assisting the operating surgeon should identify him/herself as such and claim 
the assistant's benent. Where the second or assistant surgeon is brought into the case on a consultation basis, 
he/she may, when indicated, claim a consultation as well but should be prepared to justify it on an I.C. basis. 
If the nature or complexity of a procedure requires more than one operatmg surgeon each providing a separate 
service in his/her own specialized field e.g. one surgeon carries out the ablative part and another surgeon the 
reconstructive part of the procedure, then each surgeon should claim the listed benefit for his/her services. 
This statement applies when the adcUtional procedure(s) are not the usual components of the main proce- 
dure. If one surgeon in addition to performing a specialized portion of a procedure, acts as an assistant during 
the remainder of the procedure, he/she may also claim time units for assisting. 

(9) Unless otherwise stated, the listed benefits are for unilateral procedures only. 

(10) When a procedure is performed, a procedural benefit, if listed, should be claimed. Substitution of consult- 
ation and/or visit benefits for procedural benefits (except as in paragraph 11), is not in keeping with the in- 
tent of the benefit schedule. 

(11) When a surgical benefit (non I.O.P., Complete Care, Fracture or Dislocation) is less than the surgical con- 
sultation benefit and the case is referred, a physician may claim a surgical consultation benefit instead of the 
surgical benefit. However, to avoid the consultation being counted as such under the OHIP limitation rules 
on the number of consultations allowed per year, the physician should claim the consultation fee under the 
surgical procedure nomenclature or code. Since the consultation is replacing a procedural benefit which in- 
cludes the pre- and post-operative and surgical care, no additional claims beyond the consultation should be 
made. 

(12) If a physician performs a minor surgical procedure and during the same visit assesses and treats the patient 
for another completely unrelated and significant problem involving another body system, the physician should 
claim for the procedure as well as the appropriate assessment. 

(13) Where a procedure is specified as "Independent Operative Procedure (I.O.P.)", the procedural benefit should 

be claimed in full along with the appropriate consultation or visit when both services are actually rendered. 
However, when an I.O.P. procedure is done in conjunction with a non-I.O.P. procedure, there should be no 
claim for the consultation, pre- and post-operative care related to the I.O.P. procedure. The listed I.O.P. 
benefit should be claimed in these circumstances along with the non-I.O.P. benefits plus the related major 
pre-operative visit (see para^aph (1) of Surgical Preamble). When multiple or bilateral I.O.P. procedures 
are performed at the same time by the same physician, the listed procedural benefits should be claimed in 
full but the pre- and post-operative benefits shoiUd be claimed as if only one procedure had been performed. 
When a patient is examined in a physician's office and this leads to an elective Independent Operative 
Procedure (I.O.P.) being performed for the same problem or diagnosis by the same physician in the Emer- 
gency or Outpatient Department on a non-admission basis, the physician should claim a consultation or visit 
for the examination in the office and the fee for the I.O.P. carried out in the Emergency Outpatient Depart- 
ment. An additional assessment benefit at the time of the elective I.O.P. should only be claimed when an ad- 
ditional assessment is performed. 

(14) When procedures are specifically listed under Surgical Procedures, surgeons should use these listings rather 
than applying one of the plastic surgery listed fees under Operations on Skin and Subcutaneous Tissue. 

(15) For excision of tumours not specifically listed in this Schedule, claims should be made on an I.C. basis (code 
R993). Independent consideration also will be given (under code R990) to claims for other unusual but 
generally accepted surgical procedures which are not listed specifically in the Schedule (excluding non-major 
variations of listed procedures). In submitting claims, physici<uis should relate the service rendered to com- 
parable listed procedures in terms of scope and difficulty (see Preamble, Part B, paragraph 32). 

(16) Cosmetic or Aesthetic Surgery: means a service to enhance appearance without being medically necessary 
such as 

(a) surgery for correction of facial wrinkles; 

(b) surgery for eyelid wrinkles (symmetrical and without a functional problem); 

(c) rhinoplasty for appearances only; and 

(d) augmentation mamimoplasty for symmetrical deficiency without physiological abnormality. 

These services are not benefits of OHIP. (See Preamble, Appendix D). 



222 



O. Reg. 94/89 THE ONTARIO GAZETTE 1077 

SURGICAL PROCEDURES 

PREAMBLE • Coat'd. 

(17) Reconstnictive Surgery: is surgery to improve appearance and/or function to any area altered bv disease, 
trauma or coogenital deformity. Although surgery solely to retfore appearance may be included in tnisd^ni- 
tion under certain limited conditions, emotional, psydiologkal or psfdiiatric grounds normally are not con- 
sidered sufficient additional reason for OHIP coverage of sudi surgery. Appendix D of the Preamble to this 
Schedule describes the conditions under which surgery for alteratxw of appearance, only, may be a benefit 
of the Plan. 

Physicians should submit requests to their District OHIP office for authorization of any proposed surgery 
which may fall outside of OHIP coverage. (See Preamble, Appendix D). 

(18) Procedural benefits (noo I.O.P.) include the removal of sutures when both services are rendered by the same 
physician unless the removal of sutures is done on the second or subsequent oCBcc visit for follow up examina- 
tion. When a [>hysician is entitled to claim for removal of sutures i.e. as outlined in the previous sentence or 
is a physician other than the operating surgeon or following an I.O.P. procedure, an office visit may be claimed. 

(19) Additional claims for biopsies performed when a surgeon is operating in the abdominal or thoracic cavity 
should be given independent consideration. 

(20) When a Usted procedure is performed and no anaesthetic is required, the procedure should be claimed under 
the 'local anaesthetic' listing. 

(21) When a physician administers an anaesthetic and/or other medication prior to, during a procedure(s) or im- 
mediately after a procedure(s) which he/she performs on the same patient, he/she should claim for the pro- 
cedure(s) only. However, when a physician administers a pudendal, femoral, intercostal, sciatic, iliogmnal, 
iliohypogastric, ulnar, median or radial block in addition to performing a procedure, he/she may claim 
G224* * m addition to the procedure. 

(22) If claims are being submitted in coded form, the surgeon should add the suffix A to the listed procedural code, 

the surgical assistant should add the sufTu B to the listed procedural code and the anaesthetist should add 
the suffix C to the listed procedural code. 

OPERATIONS ON THE INTEGUMENTARY SYSTEM 

Code SKIN AND SUBCUTANEOUS TISSUE 

Incision (I.O.P.) 

Abscess or Haematoma 

ZlOl local anaesthetic - subcutaneous - one 

Z173 - two 



Z174 -three or more. 

Z104 - perianal. 



Z106 - iscliiorectal or pilonidal ... 

Z103 - palmar or plantar spaces . 

Z102 general smaesthetic - subcutaneous - one 

Z172 -two or more. 

Z105 - perianal _ 

Z107 -ischiorectal or pilonidal» 

Z108 -palmar or plantar spaces. 

Z119 Comedones, acne pustules, milia - ten or less . 
Z120 - eleven or more. 

Z114 Foreign body removal - local anaesthetic.. 
ZllS - general anaesthetic.. 



ZIOO - complicated (see Preamble, paragraph B32) . 

Z227 Intramuscular abscess or haematoma.. 
Z118 Aspiration of superficial lump for cytology . 

**Please refer to page xxi for fee listing. 





18J0 






27.60 






37.10 






18J0 






40.40 






40.40 






40.40 






60.70 






40.40 






65.70 






65.70 






3J0 






12.40 






17.15 




3 


80.90 


4 


4 


LC 


4 




92.60 


4 




25.80 





223 



1078 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



OPERATIONS ON THE INTEGUMENTARY SYSTEM - Cont'd- 
Code SKIN AND SUBCUTANEOUS TISSUE - CoatU 



àsst Suis. Aaa£& 



Z116 Biopsy(s) - any method 

Note: Z116 may be allowed more than once on an I.C. basis if medicallv necessary (in order to 

make a aiagnosis or to plan treatment) to biopsy more than one lesion or to obtain a 

second biopsy from an extensive lesion. If claimed, may be allowed with chemical 

treatment of lesion (code Z117). 

Biopsy(s) - extensive, complicated or requiring general anaesthetic when 

Z155 sole procedure (see Preamble para B.32) 

Z245 Biopsy for malignant hyperthermia, three or more 

Excision (with or without biopsy) 
Lesions - single or multiple sites (I.O.P.) 
Notes: 1. Tattoo removal - see Appendix D. Surface Pathology Section 3 

2. Lesions removed for cosmetic purposes and not for any clinical suspicion of disease 
or malignancy may be billed to the patient. 

Group 1 • eg. verruca, papilloma, keratosis, pyogenic granuloma, spider naevus, 
molluscum (see Appendix D Surface Pathology, Section 4) 

Z156 Removal by excision and suture - single lesion 

Z157 - two lesions 

Z158 - three or more lesions 

Removal by electrocoagulation and/or curreting 

Z159 - single lesion 

Z160 - two lesions 

Z161 - three or more lesions 

Group 2 - naevus (See Appendix D Surface Pathology, Section 4) 

Z162 Removal by excision and suture - single lesion 

Z163 - two lesions 

Z164 - three or more lesions 

Z165 Congenital (extensive) (see Preamble, paragraph B.32) 

Group 3 - plantar verruca 

Z166 Removal by excision and suture - single lesion 

Z167 - two lesions 

Z168 - three or more lesions 

Removal by electrocoagulation and/or curetting 

Z169 - single lesion 

Z170 - two lesions 

Z171 - three or more lesions 

Group 4 - cyst, haemangioma, lipoma 
Face or Neck 

Z122 local anaesthetic - single lesion 

Z123 - two lesions 

Z124 - three or more lesions 

Z14S general anaesthetic - single lesion 3 

Z146 - two lesions 3 

Z147 - three or more lesions 3 

Z148 - extensive or massive (see Preamble, paragraph B32) 3 



13.40 



I.C. I.C. 
139J0 10 



13.50 


4 


20.20 


4 


33.60 


4 


9.60 


4 


14.45 


4 


23.90 


4 


13.50 


4 


20.20 


4 


33.60 


4 


I.C. 


I.C. 


26.50 


4 


39.60 


4 


65.70 


4 


1830 


4 


27.60 


4 


54.60 


4 


29.30 




43.40 




59.60 




59.80 


4 


89.80 


4 


L19J0 


4 


LC. 


5 



224 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1079 



OPERATIONS ON THE INTEGUMENTARY SYSTEM - Cont'd. 
Code SKIN AND SUBCUTANEOUS TISSUE • CoatU 



Aaat Spry Arntr* 



Z125 
Z126 
Z127 
Z149 
Z150 
Z151 
Z152 
Z096 
2097 
Ra34 
R043 
R042 
R037 
R035 
R036 



R059 
R060 



R048 
R049 
R050 

R094 
R040 
R041 
E540 



R018 
R019 
R020 

R031 
R032 
R033 
R081 
R051 



Other areas 
local anaesthetic - single lesion 

- two lesions 

- three or more lesions 

general anaesthetic - single lesion 3 

- two lesions ~. 3 

- three or more lesions ........_.__™_~..— ~— ._.™ 3 

- extensive or massive (see Preamble, paragra{A B32) 3 

Lif>oma - 5 - 10 cm 3 

- over 10 cm 3 

Congenital dermoid cyst - adult 3 

- infant or child .'. - 3 

- midline, e.g. nasal * 3 

Giant cell tumour 3 

Pilonidal cyst - simple excision or marsupialization 3 

- excision and skin shift 3 

Inguinal, perineal or axillary skin and sweat glands for hyperhydrosis and/or 
hydradenitis 

- unilateral ™ 3 

- with skin graft(s) or rotation flap(s) 3 

Malignant Lesions including biopsy of each lesion - single or multiple sites 

Face or Neck - simple excision 

- single lesion 3 

- two lesions 3 

- three or more lesions 3 

Other Areas - simple excision 

- single lesion 3 

- two lesions 3 

- three or more lesions 3 

- if excision is performed in hospital for tumour free margin with frozen 
section, add 25% to excision or repair fees (see Note below) 

Face or Neck - curettage, electrodesiccation or cryosurgery 

- single lesion » 3 

- two lesions 3 

- three or more lesions 3 

Other Areas - curettage, electrodesiccation or cryosurgery 

- single lesion _ 3 

- two lesions 3 

- three or more lesions 3 

Chemosurgery (Mohs technique) (see Preamble, paragraph 832) 

Laser surgery on Group 1-4 and malignant lesions (see Preamble, paragraph 832) 



22.55 
34.70 
45.60 
45.60 
59.80 
89.80 

I.e. 

67.20 
100.90 
113.40 
183.20 
248.60 
138.40 
167.00 
226.70 



226.70 
34430 



6630 
109.00 
218.00 

53.00 

87.20 

174.40 



6230 
102.90 
205.70 

50.15 

82.60 

16530 

I.e. 
i.e. 



4 
4 

4 

4 
4 
4 

I.e. 
I.e. 



Note: When excision of benign or malignant lesions are corrected by advancement, rotation, 
transposition, "Z" plasty, flap or graft, claim appropriate benefit listed under Repair 
Section instead of foregoing excision benefits. 



225 



1080 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



OPERATIONS ON THE INTEGUMENTARY SYSTEM - CootU 

Code SKliSf AND SUBCUTANEOUS TISSUE -Cont'd. Asst Snry Anaes 

Repair 

Debridement and Dressing (I.O.P.) - not to be claimed m addition to any surgical 
procedure unless complications require such care in excess of the usual post- 
operative care 

U.V.C. - minor visit.fee 

Z153 - major (not to be claimed in addition to Z176) 12.60 

Z144 - requiring general anaesthetic 4 5130 4 

R082 - extensive (see Preamble, paragraph B 32) 4 I.C. 5 

Bums 

For Bum care requiring anaesthetists' and assistants' services the following fees apply: 

R030 Minor burns - up to 15% 4 5 

R038 Moderate bums - 16% to 30% 6 10 

R039 Major bums - more than 30% 8 15 

Z180 Resuscitation - major burn, initial care, first 24 hours 96.80 

Z181 - continuing care (up to 3 days), per day 48.40 

Debridement and excision, per % of total body treated other 
R637 than hand, head or neck 27.00 

Debridement and excision 

R660 - hand, each digit 27.00 

R661 - dorsum palm - each 44.90 

R662 - nose, cheek, lip, ear, forehead, scalp, neck, eyeUd - each 27.00 

Graft of Bum 

Grafting of burn, per % of total body treated 

R638 - other than hand, head or neck 44.90 

R663 - hand - each digit 53.80 

R664 - palm, dorsum - each 107.70 

R665 - nose, lip(s) - each 179.60 

R666 - cheek(s), forehead - each 179.60 

R667 -ear „ 179.60 

R668 -eyeUd 179.60 

R669 - scalp - less than 10% 89.80 

R670 - up to 50% 224.60 

R671 - over 50% I.C. 

R672 - neck - less than 10% 89.80 

R673 - up to 50% 197.55 

R674 - over 50% I.C. 

Suture of Lacerations (I.O.P.) 

Z176 - up to 5 cm 13.50 4 

- up to 5 cm if on face and/or requires tying of bleeders and/or closure 

Z154 m layers 32.50 4 

Z175 - 5.1 to 10 cm 32.50 4 

- 5.1 to 10 cm. if on face and/or requires tying of bleeders and/or 

Z177 closure in layers 65.00 4 

Z179 - 10.1 to 15 cm 46.00 4 



226 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1061 



Cede 



zm 

ES» 
ES31 
ES42 
U.VjC 



OreSATIOKS ON TBE INTEGinflEinAKir SVSmi - CaMTM. 
SKD( AND SUKUTANEOUS TISSUE • CMTi. 

- IOlI to 15 oi if oa fKC Md/or reqHres qpiK of bfeedcfs awVor 

""— "^ ^ "jp * *■ 

- aore dna 15l1 (». (sec Preariile. p«v^ 832). 

■ Metl, 

- V ottemiic deinieaHal k reqâml^ add (see Preaable. pw^r^ BJZ). 



add 



salBRS a>c aiefted ia priniB oSke». 
of saUacs oaly. 



add 



9Z.40 
LC 

46d00 
LC 
52a 



NalB He above beaefils 
roatiae abservaboa. 



the ase of satares. local 



R52S 
RS28 



Sia^de aasde rc|iaB(s) lo adade repaa of awdwjd skia 

C oMpfc I (see l*ir l a di l f , pa r y a ph BJ2) 

SUa nap* aad GfaAi - Tke beaefil «a depead oa tke size awilocaiioa of the aiea 
paAed awl the t^K of graft- Adifliaaal proocdares other thaa the slû gprfti^ are 
caaia.e^teadoagafti.ialijyiÉi,ctc Ska flaps or mfts doae dariac a proœdare 
shoald be daÎBKdoa their owB Befit (aaless spedficJ^ Esled as beii« actenc for 
that procedare). 



per side) B 



LC 




ROU 
RfUZ 
R012 
RO03 

ROM 



R0«5 
R072 
11046 
R075 
R0«7 
R073 
ROM 



R079 

Ran 
Rom 

ROTl 
Rf» 
R07B 



Defect2JtoScai -faceoraecfc. 

-other areas- 
Defect SJ to 10 ca - face or aecfc. 

-other arcas_ 



Defect aore ihaa 10 ca sach as thoracic 
iB32) 



flap (Sec Pre arfilr. 



the sin 
Defect less thaa 2 ca average 



bat vfll depead oa 



Eaoeoraecfc. 
- other areas- 



Defect 2.1 to S ca aweragB (iaaeter - Ewe or aecfc- 

-ocher areas 

Defect 5l1 to 10 ca average dbaeter - Ewe or aedc 

-other areas.. 
Defect aore thaa 10 ca aacnac doaeier (See 



B32). 



CI^AfeFlapa 

Saul e^ crass finger . 



lateraedfate e^ cervical fi^BFT. 



Large e.g. cross kfr ddtapedoral. farehead. 



LC 



3 


84i» 


4 


3 


«300 


4 


3 


23L10 


5 


3 


1SI30 


5 



««*8C- 



3 


lasjfio 




3 


124.'» 




3 


31355 




3 


2OU0 




4 


446l5D 




4 


297J0 




4 


LC 


5 


4 


12110 


4 


4 


925D 


4 


4 


274.W 


5 


4 


2a&so 


5 


4 


389.40 


6 


4 


29130 


6 



227 



1082 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



Code 

E069 
R103 
RlOl 
RlOO 



R005 
R006 
R008 
Z195 
Zl% 

R009 
R007 



R084 
ROSS 
R086 
R087 
R088 

Note: 



R092 
R093 
R083 
R091 

Note: 



R057 
R0S8 



R847 
R84S 



R061 
R062 
R063 



OPERATIONS ON THE INTEGUMENTARY SYSTEM - Coot'd. 

SKIN AND SUBCUTANEOUS TISSUE -Cont'd. Asst 

Preparation of a contracted recipient site, to R070 and R080 add 

Delay of tube or pedicle 

Delay, intermediate flap 3 

Delay, major flap 4 

D. Myo-Cutaneous Flaps (to include closure by any means) 

Stemo-mastoid, tensor fascia lata, gluteus maximus, gracilis, sartorius, 

rectus femoris, gastrocnemius (medial and lateral), trapezius 3 

Pectoralis major, latissimus dorsi, unilateral rectus abdominus 4 

Lx)wer transverse rectus abdominus flap 6 

- repair of abdominal defect - same surgeon 

- different surgeon 

Myocutaneous - osseous flaps e.g. pectoralis major myocutaneous flap with 

rib graft, trapezius flap with scapula spine 6 

- other (See Preamble, paragraph B.32) I.C 

Skin Grafts 

A. Split Thickness Grafts (for burn grafts see p.S2) 

Very minor, very small areas, - e.g. trauma 

Minor, medium sized areas, - e.g. small or skin ulcer, breast, etc 3 

Intermediate, large areas, - e.g. trunk, arms, legs 4 

Major, complex areas, - e.g. face, neck, hands 4 

Extensive major, very Iju-ge area(s) 4 

R086-R088 - The OHIP Medical Consultant may be requested to determine 
appropriateness of code claimed relative to size of graft. 

B. Full Thickness Grafts 

Minor - less than 1 cm. average diameter 

Intermediate - 1 cm. to 5 cm. average diameter , 3 

Major - over 5 cm. (See Preamble, paragraph B.32) 5 

Complex - eyelid, nose, lip, face 4 

1. Descriptive details of procedure(s) (e.g. operative report) should be submitted with 
claims for professional assessment for R091, R083. 

2. R092, R093, R083, R091 - The OHIP Medical Consultant may be requested to 
determine appropriateness of codes claimed relative to size of graft. 

Appendage or tissue re-vascularization involving microanastomosis with or 

without micro neuroanastomosis (See Preamble, paragraph B.32) I.C. 

Revision of above (See Preamble, paragraph B.32) I.C. 

Stasis Ulcer 

- with skin graft - per leg 3 

- multiple ligation and skin graft - per leg S 

Neurovascular Island Transfer 

Minor e.g. finger tip 3 

Intermediate e.g. finger to thumb transfer 4 

Major e.g. foot to heel 4 



Surg. Àlia£& 



126.00 

59.00 4 

123.85 4 

273.00 5 



440.50 
687.30 
595.65 
183.20 
353.30 

732.60 
I.C. 



I.e. 

I.C. 



8 
I.C. 



8630 4 

131.20 4 

242.40 4 

362.80 5 

531.20 6 



87.20 4 

133.90 4 

I.C. 5 

196.60 5 



I.C. 
I.C. 



183.20 5 
31130 5 



131.20 4 
242.40 5 
402.90 6 



228 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1083 



OPERATIONS ON THE INTEGUMENTARY SYSTEM • Coat'4. 
Code SKIN AND SUBCUTANEOUS TISSUE • CoatU 



R0I3 
R014 
R015 

R064 
R065 

R066 

R067 

R068 

R069 
R125 
R126 

R127 
R128 

R129 

R130 
R131 
R132 

R133 
R134 
R135 

R136 
R137 
R138 

R139 
R025 
R106 



Z121 
Note: 



Z128 
Z129 
Z130 
Z131 



Free Island Flaps 

Free jejunum artery and vein for transplantatioa ___....._....._>_>_...__.^ 

Préparation of microvascular recipient site for free Jejunuoa artcfy and vein 

Transplanation of free Jejunum artery and vela witk nicrovascular anastoiMisb . 

Elevation of free island skin and subcutaneous flap and closure of defect. 



Preparation of microvascular recipient site for free island skin subcutaneous flap . 
Transplantation of free island skin and subcutaneous flap with microvascular 

anastomosis(es) „ 

Elevation of innervated free island skin and subcutaneous flap and closure of 

defect ™ _ ™ — 

Preparation of microvascular recipient site for innervated free island skin and 

subcutaneous flap .'. 

Transplantation of innervated free island skin and subcutaneous flap with micro- 
vascular anastomosis(es) and nerve repair „ 

Elevation of free island skin and muscle flap and closure of defect 

Preparation of microvascular recipient site for free island skin and masde flap 

Transplantation of free island skin and muscle flap with microvascular 

anastomosis(es) — 

Elevation of free island muscle flap with tendon and nerve, and closure of defect.. 
Preparation of microvascular récipient site for muscle, tendon and nerve 

anastomosis(es) 

Transplantation of free island muscle flap with tendon, nerve and microivascular 

anastomosis(es) 

Elevation of free island bone flap and closure of defect 

Preparation of microvascular recipient site for free island bone flap 

Transplantation of free island bone flap wih microvascular anastomosis(es) and 

bone fixation . 

Elevation of free island skin and bone flap and closure of defect 

Preparation of microvascular recipient site for free island skin and bone flap. 
Transplantation of free island skin and bone flap with microvascular 

anastomosis(es) and bone fixation.. 
Elevation of free toe or finger and closure of defect . 



Preparation of microvascular recipient site for free toe or finger transplant 

Transplantation of free island toe or finger with microvasailar anastoniosis(es) and 

tendon nerve and bone repair 

Revision of free island flaps (see Preamble, paragraph B32) 

Skin Flaps and Grafts • other than listed above (see Preamble, paragraph B 32) I.C. 

Destruction 

Epilation of facial hairs (I.O.P.) - per quarter hour 

Claims for the above procedure require CHIP authorization (see Surgical 
Preamble, paragraph (17)). 

Finger or toe-nail (I.OP.) 
Sim[^ partial or complete • one . 

- multiple . 
Radical, including destruction of nail bed - one.. 



^<i<it 


Surg. 


Anaes 


10 


301.90 


10 


10 


824.40 


10 


10 


824.40 


10 


10 


778.90 
824.40 

824.40 


10 


10 


915.70 
915.70 
856.10 


10 


10 


778.90 
824.40 

778.90 


10 


10 


1053.90 
10S350 

1053.90 


10 


10 


778.90 
824.40 

915.70 


10 


10 


934.00 
934.00 

934.00 


10 


10 


934.00 
934.00 

1099.20 


10 


10 


I.C. 


10 


I.C. 


I.C. 


I.C 



- multiple..» 



12J0 



21.70 4 

3230 4 

54.10 4 

75.40 4 



229 



1084 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



OPERATIONS ON THE INTEGUMENTARY SYSTEM - ContU 

Code SKIN AND SUBCUTANEOUS TISSUE -Cont'd. Asst Sury. Anaps 

Chemical and/or cryotherapy treatment of minor skin lesions (I.O.P.) 
Z117 - one or more lesions, per treatment 10.10 

Plastic Planing (Deniial>rasion) - face for acne 
Notes: (1) R0%, R104, R097 - not a benefit of CHIP for areas other than the face. 

(2) R098 - Claims for this procedure require CHIP authorization (see Surgical 

Preamble, paragraph (1^)- 

(3) Plastic Planing/Dermabrasion by areas, as an insived service, may not exceed the 

fee for R097. 

R096 -each area 

R104 -both cheeks 

R097 -whole face 

R098 - single area, c.g. trauma scar 

R099 Rhinophyma, removal by shaving 

R089 Webbed Fingers - one web space 4 

R090 Webbed Toes - one web space 4 

Scar Revision - any method of closure 

R021 up to 2 J cm - face or neck 3 

R026 - other areas 3 

R022 2.6 cm to 5 cm - face or neck 3 

R027 - other areas 3 

R023 5.1 cm to 10 cm - face or neck 3 

R028 - other areas 3 

R029 Greater than 10 cm (see Preamble, paragraph B32) 4 

Note: CHIP authorization is required for all scar revisions in areas other than the face or 

neck (see Preamble, Ap])endix D). 
Note: Revision of post-infection scarring of face must be claimed on an "I.C." basis - maximum 

payable will be as equated to R023. 

Plastic Surgery Procedures: 

The setting of benefits covering the various procedures of plastic surgery is a very 
difficult problem. Since many procedures are divided into stages wbch have to be 
considered in assessing a fee, it is felt that all such plastic surgical procedures 
should be classed by the responsible specialist as very minor, intermediate, major, 
or extensive major. Benefits should be claimed according to procedures set forth 
in the tariff, except in cases which are difficult to define, in which case "I.C." should 
be the basis of the claim. The minimum benefit for each would be as follows: 

R150 Very Minor 

R151 Minor 3 

R152 Intermediate 4 

R153 Major 4 

R154 Extensive Major 4 

Notes: (l)Descriptive deteiils of procedure (e.g.: operative report) should be submitted with 
claims for codes R150- R154 for professional assessment. 
(2)Taking of skin by a surgeon for grafting by an Oral Surgeon claim as R150. 

Z132 Insertion of tissue expander 3 184.00 5 

E527 - additional expander, same incision, ............ — ..... — . — ...................................... add 55.20 

E528 - additional expander, différent incision, ....... — .................................................. add 156.40 

Note: Authorization may be required from OHIP (c.g. for scars of legs etc.) 



91.60 


4 


19230 


4 


293.05 


4 


52.60 


4 


235.50 


4 


252.10 


5 


115.80 


4 


108.20 


4 


72.40 


4 


182.30 


4 


121.70 


4 


259.90 


5 


173.50 


5 


I.C. 


6 



86.30 


4 


131.20 


4 


242.50 


4 


362.80 


5 


532.10 


6 



230 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1085 



OPERATIONS ON THE INTEGUMENTARY SYSTEM • CMt'4. 

Cade SKIN APO) SUBCUTANEOUS TISSUE -CmIU 

Z137 Percutaneous inflation of tissue expanders) per visit (I-OJ*.) 

ES41 - each additional expander - to a maximum of 3 per visit. 

Z138 Replacement of tissue expander by permanent prostliesis (I.OJ*.) . 



Z141 
Z139 

Z140 
Z740 



R107 

Rill 
ES46 

R115 
R116 

N««e 



R106 
R117 
R109 



Note 



R119 
R118 
E529 
Note: 

R114 
R113 
R121 
R120 
N.C. 

RllO 
R112 
Z142 
Z133 
Z134 
Z135 

R006 



.addSO% 



Asal Sub Amêo. 

2L60 

183.10 4 



OPERATIONS ON THE BREAST 

IscisioB 

Needle biopsy - one or more (I.O J*.) 

Aspiration of cyst - one or more (lO J*.) 

Drainage of intramammary abscess or hematoma - sia^ or mukiioculaled (I.O J*.) 

- local anaesthetic ; 

- general anaesthetic 

ExdsioB 

Tumour or tissue for diagnostic biopsy and/or treatment e.g. carcinoma, 

Gbroadenoma or fibrocystic disease (single or multiple - same breast) 

Partial mastectomy or wedge resection for treatment of breast disease 
with or without biopsy e.g. carcinoma or extensive fibrocystic disease. 
- with radical axillary node dissection, add.. 

Mastectomy - male (benign) - unilateral 
-simple „ 

- subcutaneous with nipple preservation ... 
R 116, R 117 - include skin grafts if required. 
R109 - allow skin graft in addition if claimed. 

Mastectomy - female (with or without biopsy) 
-simple, 
subcutaneous with nipple preservation . 





22.70 






22.70 






22.70 






57.10 


4 


3 


123-85 


4 


3 


187.40 


4 




219.75 


2 


3 


ltiO.40 


4 


4 


247.80 


5 



Mastectomy, radical or modified radical (with or without biopsy). 

Repair 

R118 - R112 - Claims for these procedures may require CHIP authorization 
(see Sitfgical Preamble, paragraphs 16 & 17 also Preamble, Appendix D). 

Post-mastectomy breast reconstruction 

- breast mound creation by prosthesis and/or soft tissue 

breast skin reconstruction by local flaps or grafts.... 



- with breast mound creation by prosthesis and'or soft tissae,add. 
- by myocutaneous flaps - see codes R005 - R009 

- revision of breast mound 



Nipple-areola preservation and tissue-banking.. 



Reimplantation of tissue-banked nipple-areola. 

Wppk-areola reconstruction by grafts — 

Correction of inverted nipple(s) . 
Reduction mammoplasty (female, to include nipple transplantation or 
grafting) - unilateral 



Augmentation mammoplasty - unilateral. 
Removal of breast prosthesis (I.O P.) 



Breast capsulotomy dosed (I.OJ*.) • no anaesthetic. 



- general anaesthetic. 



Open capsulotomy with or without replacement of breast prosthesis (I.OJ*.) . 
Myocutaneous Flaps - Pectoralis major, latissimus dorsi, unilateral 

rectus abdominus „ 



247.80 5 
247J0 5 
457.85 6 



4 


284 JO 


5 


4 


379.40 
95.90 


5 


3 


215.40 


4 


3 


109.90 


4 


3 


128J0 


4 


3 


215.40 
N.A.B. 


4 


5 


441.60 


7 


4 


187.40 


4 


3 


74.05 
1L55 


4 


3 


74JÏ5 


4 


3 


183 JO 


4 



687 JO 



231 



1086 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM 
Preamble: 

(1) Corrective splints must be "corrective" to quali^r for a benefit as such. The corrective splint listings are not 
applicable to simple immobilization such as with a Jones bandage or metal finger splint following soft tissue 
injury. 

(2) The removal of a wire or pin or other device wlien used for traction or external fixation (except for rigid ex- 
ternal fixators) in the treatment of a fracture or other orthopaedic procedure is to be included in the proce- 
dural fee unless a general anaesthetic is required^ la which case a fee may be claimed. Remo>^al of devices 
used for internal fnation more than 30 days alter insertion may be charged for in addition to the procedural 
benefit. 

(3) The benefit for total joint replacement also includes denervation of the joint, all tenotomies and division and 
repair of muscle. 

(4) The benefit for obtaining a bone graft is not to be claimed in cases of pseudarthrosis repair, fusions or for 
listings in which bone grafting is included. 

(5) For the supervision of limb fitting and 6 months post-operative care following amputation, claim visit fees. 
Amputation with immediate fitting to include supervision of final limb fitting - add 40% (ES86). 

Note: Reconstruction, Arthroplasty: if other procedure are claimed, same Joint, same time, e^ debridement, 
synovectomy, tendon release etc^ the Medical Consultant will assess the surgeon's claim. 

Fractures and Dislocations: 

(a) For fractures or dislocations requiring open or closed reduction or no reduction, the major pre-operative 
visit i.e. consultation or appropriate assessment may be claimed in addition to the listed benefits. 

(b) OPEN REDUCTION shall mean the treatment of a fracture and/or dislocation by either closed intramedul- 
lary fixation or by an operative procedure to expose the fracture. The benefits include fixation by internal or 
external devices. 

(c) CLOSED REDUCTION shall mean the reduction of a fracture or dislocation by non-operative methods 
(including traction). 

(d) NO REDUCTION shall mean the treatment of a fracture or dislocation by any other method and includes 
the use of the initial external support. 

(e) The stated benefit covers full or after treatment up to 2 weeks except if additional reductions are necessary 
or if patient is transferred to another surgeon or if the patient is paraplegic. 

(f) In multiple fractures or dislocations, the benefit for the major fracture or dislocation shall be 100% and the 
benefit for the other fractures or dislocations 85%. When no procedural benefit is applicable, but when that 
fracture or dislocation necessitates hospitalization or concurrent care over that demanded by the major in- 
jury, a visit benefit may be claimed in addition to other procedural benefits. 

(g) For repeat reductions (closed or open) for the same fracture or dislocation, the full benefit should be 
claimed for the final reduction and after care - previous reductions by the same surgeon should be claimed 
at 85%. 

(h) Emergency splinting of fractures in the emergency department should be on the basis of appropriate visit 

benefit, plus application of cast if appropriate, 
(i) Transferred cases - 

(1) When patients are transferred to a chronic or convalescent facility, additional visit benefits on a chronic 
care basis shall be allowed to other than the operating surgeon (and also to the surgeon after 2 weeks). 

(2) When patients are transferred to another physician for after care of fractures and dislocations treated by 
closed or no reduction, the physician rendering the initial care should claim 75% of the listed fee and the 
surgeon rendering subsequent care visit fees except where otherwise specified. In cases involving open 
reduction, the percentage should be 80% for the surgeon providing the initial care. 

(3) In cases where the original physician attempts to reduce a fracture or dislocation under general anaes- 
thesia, is unsuccessful and refers the patient to another physician for definitive care, the original physician 
should claim 75% of the listed fee. 

(j) Paraplegia associated with fractures and dislocations may be claimed by charging visit fees after the first 2 

weeks of post-operative care in addition to the appropriate procedural fees, 
(k) Pseudarthrosis may be allowed as the appropriate benefit after the fracture is 4 months old. 

(I) For fractures and dislocations not requiring reduction, visit fees apply unless a specific fee is listed. If the listed 
fee is less than the consultation, the consultation should be claimed under the fracture/dislocation code num- 
ber. 



Ill 



O. Reg. 94/89 THE ONTARIO GAZETTE 1087 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cont'd. 
Code GENERAL FEES Asst Sury Anaes 

Booe/Fascial/Dennis Grafts 

E551 Autogenous - separate incision 78.80 

E552 - same incision 53.10 

Z279 - different surgeon (LO.P.) 175.40 

E553 Homogenous - bank 22.60 

Allograft - donor - 85% of excision fee 

R200 - cadaver - per long bone, each 131.60 

Fixation 

E547 Meth^ methacrylate (not arthroplasty) 54.00 

Rigid external fixation (excluding casts) for closed reduction, add 40% 

E555 to closed reduction fee ~ 

E544 Cast - bracing with closed reduction, add 40% to reduction fee 

E569 Percutaneous pinning, add 30% to closed reduction 

E590 Rigid external fixation - pseudarthosis 

R267 Removal of internal Hxation device - general anaesthetic 3 

R268 - local anaesthetic 3 

R598 Removal of extensive external fixation device under general anaesthesia 

Z210 Insertion traaion pin - excludes fractures and dislocations (LO.P.) 

Wound Care 

Z783 Secondary closure ~ 

E550 Closed irrigation during a surgical procedure 

Extensive debridement of compound fractures or dislocations - add 40% to 

E556 reduction fee 

R517 Excision of foreign body 

Electrical Stimulation 

Z250 External or internal (I.O.P.) 175.40 

Casts (LO.P.) 

Application of plaster casts or corrective splints are not to be claimed if applied at the 
time of surgery (except for the application of a cast brace) or applied during the first 
2 weeks for a fracture or dislocation when a procedural fee is applicable. The 
subsequent application of plaster casts may be claimed according to the following 
schedule. Cost of material is extra. 

Z201 Rnger 

Z202 Hand 

Z203 Arm, forearm or wrist — 

Z199 Foot 

Z213 Below knee, knee splints (Stove pipe, etc.) 

Z21 1 Whole leg (mid thigh to toes) 

Z198 Toes 

Z205 Head and Torso 3 

Z208 Shoulder spica. 3 

Z206 Body cast 3 

Z207 Hip spica - unilateral „ 3 

Z209 - bilateral 3 



69.20 




144.20 


4 


49J5 


4 


44.20 


4 


30.40 




88.55 




57.30 






2 


97.80 


4 



9.05 




13.50 


4 


21.70 


4 


13 JO 


4 


21.70 


4 


26 JO 


4 


9.05 


4 


88.55 


4 


88.55 


4 


52J0 


4 


88.55 


4 


L1030 


4 



233 



1088 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Coot'd. 

Code GENERAL FEES - Cont'd. Asst Surg Anaes 

Z216 Wedging of casts in other than fracture treatment 9.05 

Z200 Application of Unna's paste 13.50 

21873 Application of cast brace (must include hinge) 61.40 

Removal of plaster (not associated with fractures or dislocation within 2 weeks of 
Z204 initial treatment) 9.05 

HAND and WRIST 

Amputation 

R606 Phalanx 146.80 4 

E582 - each additional 73.40 

R608 Metacarpal or metaphalangeal joint 172.90 4 

E583 - each additional 86.40 

R610 Trans, metacarpal 2nd or 5th ray 253.50 4 

R611 Hand - all metacarpals 3 263.15 4 

R612 Wrist 4 263.15 5 

Arthrodesis 

R465 Fmger-thumb 3 233.20 4 

R466 Wrist 3 354.20 4 

Arthroplasty 

R437 Wrist - interposition 3 339.90 5 

R485 - total 6 388.00 6 

R479 Removal only 3 175.40 6 

R435 Hand - inter]x>sition - single 3 231.10 5 

R436 - multiple 3 417.50 6 

R489 Single joint - total 3 264.00 5 

R449 Multiple joints - total max 3 704.25 6 

R500 Removal only v 3 131.55 4 

R236 Carpal replacement 3 292.30 5 

E564 Revision of arthroplasty, add 35% 

Arthroscopy 

Z218 Diagnostic arthroscopy (sole procedure) 3 88.55 4 

R211 - synovial biopsy 3 40.00 4 

R212 - removal of loose body, screw 3 175.40 4 

R213 - drilling of defect (includes removal of loose body) 3 229.30 4 

R221 - debridement - local 3 229.30 4 

R224 - total 3 297.60 4 

R230 - synovectomy - partial 3 178.70 4 

R232 - total 3 438.55 4 

R233 - pinning of osteochondral fragment 3 229.30 4 

E595 - in association with surgery - same surgeon 57.40 

Arthrotomy 

R409 Finger 152.20 4 

R410 Wrist 3 193.60 4 



234 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1089 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM • CootU 

Code HAND AND WRIST -Coot'd. 

Aspiratioa/IiOectioa - see Diagnostic and Therapeutic Procedures - Injections or 
Infusions 



Z230 
Z214 
E563 
Z221 
R409 
R410 
Z228 



N290 

N285 



R219 
R218 
R217 
R409 
R410 
R534 



Z222 



R316 
R285 
R317 
R286 
R283 
R272 



R425 

R414 
R407 
R418 
R492 



R522 
R523 



Âsal SiiEE Aaash^ 



Biopsy 

Bones - punch, x-ray control (I.O.P.) 

- open biopsy or taking of bone graft by other than operating surgeon (I.O.P.). 
Joint - via arthroscope 

- needle (I.O.P.) 

-open finger 

-open wrist 

Muscle (I.O.P.) 



Decompression • Denervation 

Decompression median nerve at wrist (carpal tunnel syndrome) 

Exploration and/or decompression and/or transposition and/or neurolysis of major 
nerve (excluding carpal tunnel nerve) 



65.80 

4 131.55 

9.90 

44 JO 

152.20 

3 193.60 

88J5 



3 141.00 

4 230.70 



Incision and Drainage (eg. Osteomyelitis) 

Incision and drainage - phaianx/metacarpal/carpus 

Sequestrectomy - phaianx/metacarpal/carpus 

Saucerization and bone graft phaianx/metacarpal/carpus . 

Incision and drainage -joint (finger) 

- joint (wrist) 

Tendon sheath 



Examination/Manipulation 

Manipulation - hand/wrist 

- under general anaesthetic (LO.P.) 

- without general anaesthetic, see Diagnostic and Therapeutic Procedures - 
Physical Medicine 



Excision • Bone 

Proximal row carpectomy 

Carpal - bone (one) 

Dorsal exostosis (triquetrum) 

Radial styloid 

Phalanx/metacarpal 

Bone tumour (See Preamble, paragraph B32) . 



Excisioo • Joint 

Synovectomy/capsulectomy/debridement - fmger joint 

- two or more joints 

Synovectomy - extensor tendons 

Synovectomy/debridement - wrist 

Radio-ulnar meniscectomy 



Excision • Muscle and Tendon 

Muscle - simple 

- complex 



166.00 
131J5 
220.15 
152.20 
193.60 
136.80 



21J0 



3 


307.90 


5 


3 


194.80 


4 


3 


173.80 


4 


3 


213.00 


4 


3 


175.40 


4 


I.C. 


I.e. 


I.C 


3 


205.40 


4 


3 


308 JO 


4 




204.50 


4 


3 


312.20 


4 


3 


210.70 


4 


3 


175.40 


4 


4 


440 JO 


6 



235 



1090 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cont'd. 

Code HAND AND WRIST - Cont'd. A-sst Surp Annies 

R550 Tendon sheath - single 3 220.15 4 

E572 - each additional add 7830 l(max.) 

Fascia for Dupuytrens 

R551 - simple or complex with or without flaps or grafts 3 301.30 4 

Excision • Ganglion 

R549 Simple or complex 3 109.40 4 

Reconstruction - Bone 

R257 Osteotomy - phalanx - terminal 148.20 4 

R258 - phalanx - middle proximal or metacarpal 3 176.00 4 

E591 - each additional 38.70 

R321 Pseudoarthrosis - phalanx, metacarpal 3 236.50 4 

R322 - scaphoid 3 270.70 4 

Reconstruction - Ligaments 

R597 Simple/smgle repair - wrist 3 210.90 4 

R548 Extensive/multiple repair - wrist 3 357.40 4 

R601 Metacarpal phalangeal repair 3 222.10 4 

Reconstruction - Nerve - see page 157, 160 

Reconstruction • Tendon 

R557 Tenoplasty - one 3 203.30 4 

E050 - each additional, add 69.65 

R559 Tendon graft - one 3 278.40 4 

E052 - each additional, add 110.10 l(max.) 

R586 Reconstruction of flexor tendon pulley, per fmger 90.20 4 

R554 Silicone rod insertion - one 3 268.10 4 

E051 - each additional, add 123.60 

R563 Transplant/transfer - single » 3 259.70 4 

E054 - each additional, add 83.70 l(max.) 

R578 Tendon repair - extensor - single 3 114.70 4 

E580 - each additional, add 42.80 

R585 Tendon repair - flexor - single 3 215.10 4 

E581 - each additional, add 80.10 

U.V.C. Mallet finger - closed visit.fee 

R574 - K-wire 122.00 4 

R573 - open 3 134.10 4 

U.V.C. Boutonnière -closed visit.fee 

R577 - open 3 134.20 4 

R582 - late 3 224.70 4 

Reconstruction - Extremities 

R602 PoUicization 6 538.90 6 

R603 Digital reimplantation involving microvascular and neuro anastomosis 8 1445.40 8 

R604 Revision of R602, R603 (See Preamble, paragraph B.32) I.C. I.C. I.C. 

Reconstruction and plastic repair of traumatically amputated extremities 

R605 (See Preamble, paragraph B.32) I.C. I.C. I.C. 



236 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1091 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM • CoatU 
Code HAND AND WRIST. CoatU 



Aasl Suis Àaaca 



Release - Tendon 

R575 Tenolysis - flexor and/or extensor tendon of one digit 3 

E537 - each additional digit, add 

R541 Flexor tenolysis with pulley preservation 3 

Tenotomy or fasciotomy (closed) (I.O.P.) 

Z247 - finger - one „ 

Z248 -tw) 

Z249 - three or more 

Z231 - palmar or plantar 

R536 Tendon release (open) - finger/palm 

R537 - wrist 3 

E571 - more than one, add 

Rcductioo - Fractures 

R)04 Phalanx - no reduction, rigid immobilization 

P005 -closed 

E558 - each additional, add 

F007 -open 4 

F008 Metacarpal - no reduction, one or more, rigid immobilization 

P009 - closed, one or more 

Foil -open „ 4 

E559 - each additional (open), add 

F006 Intra-articular - closed 

FOlO -open 3 

P012 Bennett's - no reduction, rigid immobilization 

P013 -closed 3 

F015 -open 4 

F102 Carpus - no reduction, rigid immobilization 

F016 - closed, one or more 

F017 - open, one or more 4 

F018 Scaphoid - no reduction, rigid immobilization 

FD19 -open 4 

P020 -excision _ 4 

ReductioD - Dislocations 

DOOl Fmger - closed - one 

E576 - each additional, add 

D003 -open 3 

IXX)4 Metacarpal/phalangeal - closed - one „ 

E577 - each additional, add 

D006 -open 3 

D007 Carpal - closed 

EXX» -open 3 

ELBOW AND FOREARM 

Amputation 

R613 Through radius and ulna 4 278.40 5 

R614 Elbow disarticulation „ 4 263.15 5 



176.80 


4 


80.90 




258 JO 


4 


4520 


4 


66.60 


4 


90.40 


4 


67.10 


4 


97.40 


4 


124.90 


4 


80.20 




45J0 




91.00 


4 


20.00 




161.10 


4 


4530 




91.00 


4 


153.40 


4 


44.10 




71.70 




195.70 


4 


4530 




109.20 


4 


195.70 


4 


45J0 




104.60 


4 


201.60 


4 


45.30 




220.15 


4 


175.40 


4 


52.90 


4 


9.20 




179.05 


4 


52.90 


4 


9.20 




165 JO 


4 


116.40 


4 


219.20 


4 



237 



1092 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM • Cont'd. 
Code ELBOW AND FOREARM - Cont'd. Asst Surg Anaes 

Arthrodesis 

R466 Elbow 3 354.20 4 

Arthroplasty 

R281 Ulna replacement (lower end) 3 270.00 4 

R288 Implant radial head 3 228.60 4 

R499 Removal of total replacement 3 366.00 7 

R486 Complete arthroplasty replacement 6 444.90 8 

R510 Interposition arthroplasty 6 395.50 7 

E564 Revision of elbow arthroplasty, add 35% 

Arthroscopy 

Z218 Diagnostic arthroscopy (sole procedure) 3 88.55 4 

R211 - synovial biopsy 3 40.00 4 

R212 - removal of loose body, screw 3 175.40 4 

R213 - drilling of defect (includes removal of loose body) 3 229.30 4 

R221 - debridement - local 3 229.30 4 

R224 - total 3 297.60 4 

R230 - synovectomy - partial 3 178.70 4 

R232 - total 3 438.55 4 

R233 - pinning of osteochondral fragment 3 229.30 4 

E595 - in association with surgery - same surgeon 57.40 

Arthrotomy 

R445 Elbow, loose body, etc 3 18135 4 

Aspiration/Ii^ection - see Diagnostic and Therapeutic Procedures - Injections and 
Influions 

Biopsy 

Z225 Bone - needle (I.O.P.) 66.00 4 

Z214 - open (I.O.P.) 131.55 4 

E563 Joint - via arthroscope 9.90 

R432 - open 3 156.30 4 

Z228 Muscle/soft tissue (I.O.P.) 88J5 4 

Decompression/Denervation 

R495 Fasciotomy for compartments syndrome (not including secondary closure wound) 3 291.90 4 

Z783 Secondary closure 88.55 4 

Z251 Catheter - insertion (I.O.P.) 44.30 

U.V.C -monitoring visit.fee 

Exploration and/or decompression and/or transposition and/or neurolysis of ulnar 

N190 nerve (elbow) 4 194.00 4 

R426 Denervation - elbow 3 234.30 4 

Incision and Drainage (Osteomyelitis) 

R228 Acute, incision and drainage 3 274.95 4 

R231 Sequestrectomy 3 323.00 4 

R229 Saucerization and bone grafting 3 411.20 4 



238 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1093 



Code 

Z226 
R44S 



Z222 



R287 
R286 
R643 
R290 
R291 



R595 



R421 



R524 
R517 



R591 
R592 



R294 
R295 
R293 



R323 
R473 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cont'd. 
ELBOW AND FOREARM - Cont'd. 



Aast Sua Àiia£& 



Soft tissue or bursa, incision and drainage 88.55 

Elbow, incision and drainage „ 3 181 J5 



Examina tion/Manipu la tioo 

Manipulation under general anaesthetic (LOJ*.) 

- without general anaesthetic, see Diagnostic and Therapeutic Procedures - 
Physical Medicine 

Excision - Boae 

Radial head ... 
Radial styloid 




Exdsioa • Bursae 
Olecranon 



Exdsioo • Joint Contents 

Synovectomy/capsulectomy/debridement, etc. . 



Excision • Muscles 

Myositis ossifîcans 

Foreign body removal . 



21.50 



197.75 
213.00 
175.40 
188.90 
280.90 



92.10 



283.40 



263.15 5 
97.80 4 



Excision • Tumours 

Soft tissues - superficial 3 178.60 4 

- deep 5 440 JO 6 

Excision • Bone Tumours 

Exostosis „ 4 149.70 4 

Simple excision 4 263.15 4 

Extensive with replacement 4 615.70 6 

Reconstruction • Booe - Pseudoarthrosis 

Radius or ulna „ 3 276.65 4 

Radius and uba „ „.... 3 373.70 4 



Recoostmctioo - Booe - Osteotomy 

R259 Radius or uhia 3 270 JO 4 

R324 Radius and/or ulna and reconstruction congenital abnormality, synostosis etc 3 361.40 4 

Reconstruction - Fascial 

R476 Repair fascial defecU - smaU 3 132.60 4 

R478 - large with or without synthetic graft or rotation flap 4 263.60 5 

Reconstruction - Ligaments 

R597 Simple/single repair 3 210.90 4 

R548 Extensive/multiple repair 3 357.40 4 



239 



1094 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



Code 

R578 
E580 
R585 
E581 
R557 
E050 
R556 
E599 
R563 
E054 
R583 



R519 
R521 



D009 
DOlO 
R400 
D012 
DOll 
R540 
R558 



F029 
F037 
F038 
F039 
FM) 
F045 
FD41 
F034 
F035 
F036 
F024 
F025 
F026 
FD14 
F022 

F023 
F031 
F032 
F033 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Coot'd. 
ELBOW AND FOREARM • Cont'd. 



Asst — Suck Àoa£& 



Recoostniction - Tendons 

Suture extensor tendon - single 3 

- each additional, add 

Suture flexor tendon - single 3 

- each additional, add 

Tenoplasty - single 3 

- each additional, add 

Tenolysis- single 3 

- each additional, add 

Transposition/transplantation/transfer - single 3 

- each additional, add 

Steindler flexoplasty 3 

Release 

Muscles and tendons - simple, e.g. tennis elbow 4 

- radical, e.g. muscle slide 5 

Reduction - Dislocations 

Elbow joint - closed reduction 

- open reduction - acute 3 

- repair chronic, recurrent 3 

Radial head - closed reduction, pulled elbow 

- oj)en reduction - acute 3 

- recurrent 3 

-late 4 

Reduction • Fractures 

Epicondyle - no reduction 

- closed reduction 3 

- open reduction 4 

Transcondylar/condylar - no reduction 

- closed reduction 3 

- closed reduction with traction 3 

- open reduction 4 

Olecranon - no reduction, rigid immobilization 

- closed reduction 3 

-open reduction 4 

Radius and ulnar shaft - no reduction, rigid immobilization 

- closed reduction 3 

- open reduction 4 

Radius and ulna - Monteggia - no reduction, rigid immobilization 

- closed reduction 

- open reduction of ulna plus closed reduction 

radial head 3 

Radius or ulna - no reduction, rigid immobilization 

- closed reduction 3 

- open reduction 4 



114.70 

42.80 
215.10 

80.10 
203.30 

69.65 
183.85 

79.30 
259.70 

83.70 
314.20 



124.00 4 
285.90 5 



76.90 
229.20 
345.00 

35.90 
175.40 
206.65 
324.70 



61.40 
114.30 
194.10 

61.40 
187.60 
284.20 
341.50 
114.30 
117.20 
204.10 

61.40 
134.90 
334.80 

61.40 
131.60 



220.15 4 
61.40 

106.90 4 

207.50 4 



240 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1095 



Code 



P027 
F028 
P030 
F021 



R617 
R616 
R615 



R467 



R438 
R487 
R240 
R498 
E564 



Z218 
R211 
R212 
R213 
R221 
R224 
R230 
R232 
R233 
E595 



R411 



Z220 
Z214 
E563 
R411 

Z228 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM • CoatU 
ELBOW AND FX)REARM • Coat'iL 

Radhis-disUl, Colics', Smith's, Baitoa's, etc 

- DO reduction, rigid immobilizatioo 

- closed reduction... 

- open reduction. 
Osteociiondral - open reductioiL. 



SHOULDER/ARM/CHEST 

Anpatatioa 
Forequaiter . 
Shoulder disarticulation, 
High humerus... 

Arthrodesis 
Shoulder.. 

Arthroplasty 

Humeral prosthesis. 

Total prosthesis.. 

Revision total arthroplasty shoulder. 

Removal prosthesis/no replacement ... 

Revision of prosthesis, add 35% 

Arthroscopy 

Diagnostic arthroscopy (sole procedure). 

- synovial biopsy. 

- removal of loose body, screw 

- drilling of defect (includes removal of loose body) 

- debridement - local. 

- total.. 

- synovectomy - f>artial — 

- total, 
pinning of osteochondral fragment... 



- in association with surgery - same surgctn . 

Arthrotomy 

Shoulder 



Aaal Sub Ana 



61.40 

3 9930 4 

4 196.10 4 
4 22830 5 



10 446.20 15 
9 338.60 9 
4 335.70 5 



«5.90 



Aspiration/Injection - see Diagnostic and Therapeutic Procedures - Injections and 
Infusions 



4 


408.20 


6 


6 


631.70 


10 


6 


856.90 


10 


3 


361.00 


8 


3 


88J5 




3 


40.00 




3 


175.40 




3 


229 JO 




3 


229 JO 




3 


297.60 




3 


178.70 




3 


438.55 




3 


229 JO 
57.40 




4 


203 JO 


4 



Biopsy 

Bones - needle/punch, x-ray control (I.OP.) . 
- open (I.O.P.) . 

Joint - via arthroscope 

- open 

Soft tissue - open (I.OJ>.) 



65J0 4 

4 131.55 4 

9.90 

4 203J0 4 

88.55 4 



241 



1096 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM • Cont'd. 

Code SHOULDER/ARM/CHEST -Cont'd. As«8t Snry \n«^<i 

Incision and Drainage 

R222 Humerus/clavicle/scapula - incision and drainage 4 238.70 4 

R225 Sequestrectomy 4 263.60 4 

R223 Saucerization with bone graft 4 352.50 4 

Z226 Bursae/soft tissue 88.55 4 

R411 Jomt 4 203.30 4 

Examination and Manipulation 

Z223 Manipulation under general anaesthetic (I.O.P.) 4430 4 

• without general anaesthetic, see Diagnostic and Therapeutic Procedures - 
Physical Medicine 

Excision - Clavicle or Acromion 

R298 Simple (includes ligament) 4 192.10 4 

R641 Major Tumour 5 263.60 6 

R214 Malignant tumour with reconstruction 5 440.30 6 

Excision - Humerus 

R292 Head 4 272.40 5 

R294 Exostosis 4 149.70 4 

R295 Benign tumour 4 263.15 4 

R297 Malignant tumour with reconstruction 4 619.10 6 

Excision • Joint 

R422 Synovectomy and debridement 4 385.90 5 

R512 Excision of subacromial bursae 3 191.90 4 

R522 Muscle/fascia - simple 3 175.40 4 

R523 - complex. 4 440.30 6 

Rotator cuff exploration (includes acromioplasty, excision of coraco-acromial 

R416 ligament) 4 188.10 4 

R490 Acromio/sterno-clavicular meniscectomy 3 190.60 4 

Reconstruction • Pseudoarthrosis and Osteotomy 

R329 Pseudoarthrosis - clavicle 4 244.20 4 

R325 -humerus 4 314.50 4 

R260 Osteotomy - humerus 4 265.50 4 

R298 - clavicle 4 192.10 4 

R235 - glenoid 4 253.50 4 

Reconstruction - Nerves - see page 157, 160 

Reconstruction - Muscles/Soft Tissues 

R527 Muscle transplant - pectoralis major 6 394.30 6 

R521 Muscle/tendon release 5 285.90 5 

R526 Release- sternomastoid 5 268.70 5 

R353 Scapuloplexy - congenita elevation 6 350.00 6 

R568 Trapezius/sternomastoid/transplant 4 307.90 4 

R589 Tendon repair - biceps 3 206.65 4 



242 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1097 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - CoatU 
C9àt SHOULDER/ARM/CHEST -Coat'd. 



Asst — SncB AasÊS. 



Rotator cuff repair - simple, end-to-end or sidc-to-side (includes acromioplasty, 
R593 cxdsioo of coraco-acromial ligament) _ 4 

Rotator cuff repair - complex (includes implantation into bone, and as required, 
R594 acromioplasty, excision of coraco-acromial ligament, excision of distal clavicle) ... 4 



P047 

F048 

P049 

P053 

P054 

P055 

P050 

P051 

P052 

FD42 

H)43 

F044 

U.V.C 

FllO 

F118 

ni9 

F120 

F121 

F122 

F123 

F124 

F125 

U.V.C 

F130 

F131 



D014 
D025 
D023 
R596 
D015 
D016 
D017 
R472 
R401 



R433 



Redactioa • Fractures 
Tuberosity - no reduction . 



' closed reduction.. 



• open reduction (without cuff tear) ..„ 
Nedc without dislocation of head - no reduction.» 



closed réduction. 



open réduction. 



Necfc with dislocation of bead - no reduction . 



Shaft - no reduction. 



' closed reduction, 
open reduction ~ 



• closed reduction. 
- open reduction.. 



Clavide - no rediirfinn , , 

• closed reduction with anaesthetic_ 

- open reduction _ 

Scapula - no reduction „ 

- closed reduction with anaesthetic» 

- open reduction 

Sternum - no reduction 



- closed reduction 

- open reduction - pleura open (see Preamble, paragraph B32) ... 

- pleura closed (see Preamble, paragraph B32) . 

Ribs - no reduction 

- complicated - pleura open (see Preamble, paragraph B32) ... 
- pleura closed (see Preamble, paragraph 832). 



RcdKtkM • Dislocatioas 

Acromio-clavistemo-clav. - no reduction. 



- closed with anaesthetic . 



- open reduction . 

- open reduction - late . 



Glenohumeral joint - closed reduction - without anaesthetic. 

- with anaesthetic- 

- open reduction - early.. 

-late. 



recurrent. 



SKULL AND MANDIBLE 

Arthroplasty 

Temporo-mandibular joint - unilateral. 



287.60 



423.90 





61.40 




3 


107.10 


4 


4 


263.60 
61.40 


4 




nijoo 


4 


5 


297.70 
61.40 


6 


3 


167.00 


4 


5 


350.00 
61.40 


6 


3 


134.10 


4 


4 


293.70 
visitiee 


4 


3 


56.90 


4 


4 


210.00 
61.40 


4 


3 


105.40 


4 


4 


220.15 
61.40 
105.40 


5 


9 


I.C 


13 


4 


I.e. 

visitiee 


4 


9 


I.C 


13 


4 


I.C. 
61.40 


4 


4 


122.10 


4 


4 


210.00 


4 


4 


260.60 
44 JO 


4 




101.00 


4 


4 


294.40 


6 


4 


528.00 


7 


5 


345.00 


5 



317.70 



243 



1098 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cont'd. 

Code SKULL AND MANDIBLE -Cont'd. Asst Snry Ani.P< 

Biopsy (I.O.P.) 

Z869 Bones - punch, simple 35.65 4 

Z870 - punch, x-ray control 88.55 4 

Z242 - open 4 175.40 4 

Incision and Drainage 

Z234 Mandibular sequestrectomy (I.O.P.) 7 256.40 7 

Excision 

R272 Bone - Tumour (see Preamble, paragraph B32) I.C. I.C. I.C. 

R278 Maxilla, with exenteration of orbit and skin graft 4 485.70 7 

R279 Maxilla advancement 4 401.10 8 

R280 Mandible 4 321.65 7 

R284 Mandibular condyle 4 252.00 5 

R428 Temporo-mandibular meniscectomy 3 227.60 5 

Reconstruction 

R531 Facial paralysis - static slings 4 279.95 5 

R532 - dynamic slings 4 363.60 6 

Composite repair for facial paralysis, plication of paralyzed muscles, and resection 

R533 for paralysis of over active muscles 4 465.20 7 

E597 - with meloplasty, add 79.40 

Note: Claims for R533 will be assessed by the CHIP Medical Consultant 

Orthognathic Surgery 

Anterior dento-alveolsu' osteotomy, maxilla or mandible 

R382 - one segment 6 732.50 10 

R383 - two segments 6 849.00 10 

Posterior dento-alveolar osteotomy, maxilla 

R349 - one side .\ 6 732.50 10 

R351 - both sides, single segment 6 849.00 10 

R385 - both sides, separate segments 6 1082.50 10 

Posterior dento-alveolar osteotomy, mandible 

R462 - one side 6 732.50 10 

R463 - both sides 6 1082.50 10 

R502 Total U dento-alveolar osteotomy, mandible 6 1119.80 10 

R507 Total U dento-alveolar osteotomy, maxilla 6 1199.20 10 

R511 Mandibular or maxillary visor osteotomy for alveolar hypoplasia 6 1044.40 10 

R386 Genioplasty- one segment 6 233.70 10 

R387 - two segments, or for laterognathia 6 349.70 10 

R388 - three segments 6 466.55 10 

R480 Mandibular osteotomies for prognathism - subcondylar 3 382.80 6 

R384 - vertical ramus 6 849.00 10 

R518 - sagittal split 6 849.00 10 



244 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1099 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Coat'd. 
Code SinJLL AND MANDIBLE • ComVi. 



Aaal SucB Aoacs 



10 
10 
10 

20 



20 



20 



20 



Mandibular osteotomies for retrognathia, any technique 

R520 - advancement - up to 10 mm 6 849.00 

R529 - advancement - 10 - 20 mm 6 964.95 

R535 - advancement - greater than 20 mm 6 1236.60 

E588 - for apertognathia or laterognathia, add 233.70 

R379 LeFort I advancement - in one segment 10 732.50 

E961 - in two segments, add 270 JO 

E962 - in three segments, add 541 JO 

R538 LeFort I intrusion - in one segment 10 964.95 

E963 - in two segments, add 270 JO 

E964 - in three segments, » add 541.50 

R567 LeFort I extrusion - in one segment* 10 119920 

E965 - in two segments, add 270 JO 

E966 - in three segments, add 541 JO 

R580 LeFort I deft palate - in one segment* 10 1389.85 

E967 - in two segments, _ add 233.70 

E968 - in three segments, add 466 J5 

E969 - with SMR, add 186.60 

E970 - with pharyngopiasty, add 279.90 

E971 - with closure alveolar Fistula with or without bone graft, add 349.70 

E972 - with closure hard palate fistula with or without bone graft, add 466 J5 

R588 Naso-maxillary osteotomy without LeFort I* 6 732J0 

R389 LeFort II maxillary osteotomy and advancement* 10 1316.00 

Construction glenoid fossa and zygomatic arch* 

R395 (Obwegeser technique) 10 1278.70 

R396 Construction absent condyle and ascending ramus* 6 732J0 

R609 Combined LeFort I and LeFort III osteotomy in hemifacial microsomia. 10 1389.85 

R145 Mandibular condylotomy „ 4 186.60 

R618 Coronoidotomy 4 186.60 

R644 Coronoidectomy „. 4 279.95 

Reconstruction mandible with bone grafts aad/or plate or prostlMsis 

R334 - unilateral - partial „ „. 4 373J0 

R335 - complete „ 4 746 JO 

R645 - bilateral - partial 4 746J0 

R646 - complete „ 4 933.20 

R647 Oral vcstibuloplasty - with secondary epithelization 4 186.60 

R648 - with skin graft 4 279.95 

Temporomandibular ankylosis 

R649 - excision bone or fibrous block „ 3 420 JO 6 

R650 - with insertion of prosthetic device or muscle flap „ 4 466 J5 8 

R651 - with construction of condyle and ascending ramus* 4 606.90 10 



10 
20 

20 

10 

20 

5 

5 

5 

10 
10 
10 
10 

5 
5 



*Includes harvesting and grafting of bone or cartilage grafts. 



245 



1100 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



Code 



Z253 
Z254 
Z255 
Z256 
Z257 
Z258 
Z259 
Z260 
Z261 
Z262 

Z239 
Z240 
R354 

R652 



R390 

R653 
R654 
R655 

E973 
E974 
R378 
R6S6 
R657 
R6S8 

R659 
R675 
R676 
R393 
R394 
R677 
R398 
E557 
R399 
E930 
R376 
R377 
R678 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cont'd. 

SKULL AND MANDIBLE -Cont'd. Asst Sure Anaes 

Onlay bone grafts to face when not part of standard osteotomy for reconstruction* 

- mandible - unilateral 327.00 

-bilateral 42030 

- maxilla - unilateral 327.00 

-bilateral 420.30 

- zygoma - unilateral 279.95 

-bilateral 37330 

- temporal - unilateral 373.30 

-bilateral 466.55 

- frontal - unilateral 37330 

-bilateral 466.55 

Application of dental arch bars, or splint, for facial osteotomy (I.O.P.) 

- one arch bar 4 121.20 4 

- two arch bars 4 186.60 4 

Interdental wiring for temporomandibular joint disorder 3 140.40 5 

Removal intermaxillary fixation devices under general anaesthesia 

- as sole procedure 92.90 4 

Orbito-cranial Surgery 

Bilateral periorbital correction Treacher-CoUins Syndrome with or without bone 

grafts* (extra-cranial) 10 1548.70 20 

Bilateral periobital correction Treacher-CoUins Syndrome with skuU and muscle 

transpositions* (includes skull reconstruction)(intracranial) 10 1973.60 25 

Pericranial flap to orbit or face - luiilateral 279.95 4 

- bilateral 373.30 4 

- when in conjunction with coronal approach for main operation 

- unilateral 163.00 

-bilateral 270.30 

LeFort III total maxillary advancement* 12 1856.80 25 

LeFort III and subcranial hypertelorism correction* 12 2360.40 25 

LeFort III and LeFort I maxillary advancement* 12 2127.70 25 

LeFort II, subcranial hypertelorism correction. Le Fort I maxillary advancement* 12 2668.50 25 

Upper LeFort III advancement without occlusal change* 

- unilateral 6 849.00 10 

- bUateral 12 1316.00 25 

Forehead advancement (bone grafts not included) - unilateral 12 1082.50 25 

- bilateral... 12 1316.00 25 

Cranial vault reshaping* - anterior or posterior half 10 1389.85 20 

Total cranial vault reshaping* 12 1894.20 25 

Medial transnasal canthopexy - unilateral 3 377.60 6 

- when done in conjunction with another procedure 140.40 

Lateral canthoplasty - unilateral 3 186.60 6 

- when done in conjunction with another procedure 92.90 

Hypertelorism correction, intracranial approach* 12 2127.70 25 

Hypertelorism correction, subcranial U osteotomies* 12 1777.40 25 

Hypertelorism correction, medial orbital wall osteotomies* 10 1119.80 20 

* Includes harvesting and grafting of bone or cartilage grafts. 



246 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1101 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cmti. 
Code SKULL AND MANDIBLE -Caat'd. 



R679 
R391 
R392 



R680 
R681 

Z263 
Z264 
E975 
Z265 
E976 
Z266 



Z267 
Z268 

Z269 
Z270 
Z271 



E173 
EM3 
E934 
E174 
E934 

F136 
F137 
E825 

F150 
F142 
ES30 
E932 

E935 



n43 

F144 



Hypertelonsm correctk», medial and lateral orbital wall osteotomies* . 
Orbital dystopia* - intracranial approadi. 



extracranial approach . 



AMt Suif ^ 

.10 
.12 
.10 



Late correction traumatic cnophthalmos (Tessier Teduùqœ - total periorbital 
strif^nng and bone grafts) 

- intracranial , , i. 



' extracranial. 



12 
10 



Harvesting of bone graft wben not indnded 

- iliac bone graft 

- rib graft - one rib.. 



each subseqneat rS>. 



' costocfaoodral or cfaoodral graft - one r3>.. 



split cranial graft . 



each subsequent rib. 



Surgery for Correctioa of Dflfwa's SymàntÊt Facial Sti^aata 

Augmentation of zygoma (bilateral) 

- with prosthetic implant _ 

- with autogenous bone or cartilage*. 
Augmentation of chin 

- with prosthetic implant — 

- with autogenous bone or cartilage*. 
Horizontal resection, red lower lip .„ 

RcdactioB • Fractures 

Orbit 

Open reduction rim/wall fracture 

- zygomatic fracture dislocation . 
-with miniplate,. 



add 



• with primary booe graft (separate site) • aot to be billed witk Z263, add 

Blowout fracture of floor 4 

-with primary bone graft (separate site) -B«t to be billed «itliZ263, add 

Nasal bones (including septum) 

- with miniplate, add 



Orbit with maxilla 

- closed reduction and dental wiring . 

- with wiring and local fixation 

- with miniplate, . 



add 



primary bone graft recoostractioa (separate site) ia addltioB to local repair 
• unilateral, add 



• bilateraL 



add 



Midface fractures - application of craniofacial suspension wires and external 
fixation devices (not to be billed in addition to maxillary repair) 

- middle 1/3 facial « 

- cranial-facial separation 



1469J0 20 
1777.40 25 
1353J0 20 



1820J30 25 
1316i» 20 

9100 
139.20 

70i)0 
210.10 
140.00 
186.60 



16430 
205.70 

137.10 
16920 
16430 



4 


252jOO 
63j00 
186.60 


6 


4 


293.85 
186.60 


6 




92.80 


4 




233 JO 


5 




58J0 






233 JO 




5 


359 JO 
89.70 

186.60 
279.95 


6 


5 


39130 


8 


5 


494.40 


10 



*Includes harvesting and graftiag of bone or cartilage grafts. 



247 



1102 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cont'd. 

CiMie SKULL AND MANDIBLE - Cont'd. Asst Surg Anaes 

Mandible 

F138 - closed reduction (including wiring of teeth) 233.30 5 

- open reduction (may include wiring of teeth) 

F139 - one side 4 312.20 5 

E828 -with miniplate, add 78.00 

F146 - complicated I.C. I.C. I.C. 

Reduction • Dislocations 

D062 Temf)oro-mandibular joint - closed reduction 46.65 4 

D063 - open reduction...» 5 233.30 5 

SPINE 

Arthrodesis 

R459 Anterior or posterior fusion of one level 7 357.60 10 

R419 Fusion of Cl-2 8 505.00 10 

E573 Each additional level (to a max. of 2 additional) 77.60 

Fusion with other procedure(s) 

E567 - by same surgeon - one level, add 221.00 

E568 - multiple levels, add 281.70 

E929 - anterior cervical interbody fusion, per level, add 73.90 

Fusion by different surgeon, 

R493 - one level 282.60 

R494 - multiple levels 332.30 

E924 - anterior cervical interbody fusion, per level, add 109.20 

E574 - repeat fusion, to any fusion, not to apply to N337, add 183.40 

E548 - with instrumentation, add 125.50 

Aspiration/Injection - see Diagnostic and Therapeutic Procedives • Injections or 
Innisions 

Biopsy 

Z868 Bone - needle (I.O.P.) 4 131.55 4 

R274 - open - posterior approach 4 220.15 7 

R275 - anterior approach 6 281.70 8 

Z228 Soft tissue - open (I.O.P.) 88.55 4 

Decompression • Anterior, Anterolateral or Posterolateral 

R447 Simple anterior cervical discectomy 8 361.80 10 

R452 Simple anterior lumbar discectomy 6 44530 10 

Anterior cervical spinal cord or nerve root decompression, including removal of 

N182 disc or vertebral body, single disc level 8 549.10 10 

R397 Anterior decompression with instrumentation 9 1315.20 13 

Anterolateral or posterolateral decompression, lumbar or thoracic spine, single disc 
N186 level 9 983.20 13 

For thoracotomy or laparotomy by separate surgeon use M137 (page 139), S312 
(page 163). 

E928 - each additional disc level decompressed - to R447, R452, N182, N186, add 237.00 



248 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1103 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM • Cont'd. 
Code SPINE • Coat'd. 



Àsst Sucs àuass. 



Decompression • Posterior 

R4S1 Cervical hemilaminectomy for disc disease, with or without foraminotomy 6 

Lumbar hemilaminectomy for disc disease including removal of soft disc or 

R457 osteophyte 6 

E565 - multiple levels, to R451, R457, only per additional level, - add 

E566 - bilateral, to R451, R457 add 

N185 Posterior laminectomy one or two levels, cervical, thoracic, lumbar _ 6 

Repeat posterior exploration or reopening of posterior exploration, more than six 
months after original procedure, includes foraminotomy, discectomy or 

N337 neurolysis 8 

E914 - laminectomy extending over 3 or more laminae, to N185, N337, add 

E915 - foraminotomy, to R457 and N185 per foramen decompressed, add 

E907 - opening of dura (associated with any decompressive procedure), add 

E926 - spinal duroplasty (applies to any spinal procedure), add 

Incision and Drainage (Osteomyelitis) 

R251 Bone - incision and drainage only 4 

R234 Sequestrectomy - anterior 7 

R254 -posterior 4 

R270 Saucerization with bone grafting - anterior 6 

R252 - posterior 4 

Z226 Soft tissue 



519.60 10 

379.60 8 

65.40 

70.40 
549.10 9 



592.10 
14335 
72.90 
141.40 
217.90 



274.10 
571.80 
326.40 
70425 
398.10 
88.55 



35.20 



10 



4 
10 

4 
10 

5 

4 



220.15 


4 


351.70 


8 


528.00 


8 


880.00 


13 



Examination/Manipulation 

Z215 Manipulation under general anaesthetic (I.O.P.) 

- without general anaesthetic, see Diagnostic and Therapeutic Procedures - 
Physical Medicine 

Exdsioa • Bone 

R373 Spinous process » 4 

R374 Lamina or transverse process 6 

R450 Part of body or pedicle 6 

R455 Total body (includes replacement) 9 

Excision - Musdc/Soft Tissue 

R634 Tumours - simple 6 175.40 8 

R635 - radical resection „ 9 44030 13 

Reconstruction • Osteotomy (includes fixation /fusion) 

R303 Anterior - via chest ., 9 

R636 - via abdomen 9 

R271 - via chest and abdomen 9 

R296 Posterior 9 

E549 - with rib or transverse release, add 

R310 Circumferential 9 

R264 Cervical 10 



658.70 


13 


704.25 


9 


792.80 


13 


62330 


9 


112.00 




05630 


9 


925.20 


12 



249 



1104 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM ■ CootU 
Code SPINE - Cont'd. Asst Sury Anaes 

InstnimenUiUon • Deformities 

Anterior (Dwyer etc. includes fusion/discectomy) 

R350 - via chest or abdomen 9 1155.60 17 

R359 - via chest and abdomen 9 1271.50 17 

R362 Posterior (Harrington) - with or without fusion 8 700.90 12 

R369 Readjustment of instrumentation 131.55 4 

E533 - Harrington instrumentation to sacrum or pelvis, add 70.40 

. E534 - Harrington instrumentation, for each level over 6, add 17.10 

E554 - with posterior osteotomy add 134.10 

R371 Segmental procedure - with fusion 8 1061.80 12 

E535 - segmental instrumentation to pelvis, add to R371 140.00 

E536 - segmental instrumentation, for each level over 6, add 27.80 

R461 Removal of - anterior instrumentation 8 263.15 8 

R348 - posterior instrumentation 8 237.90 8 

Revision of entire instrumentation 

R346 - with fusion 8 1100.00 12 

R336 - without fusion 8 880.00 12 

R365 Electrical stimulation 8 462.20 10 

R366 - with muscle stripping of spine 8 659.60 12 

R367 Repair or replacement of electrodes 8 217.60 10 

R368 Removal of electrodes 8 231.90 8 

R464 Muscle stripping spine prior to surgery 6 175.40 8 

R361 Halo traction prior to surgery (complete care) 3 264.50 4 

Note: R361 and R464 allow full benefit if followed by surgery for correction of scoliosis in 
same hospitalization. 

Anterior release including Halo traction 

R358 - via chest or abdomen 9 495.90 13 

R357 - via chest and abdomen 9 615.70 13 

R356 Localizer cast 120.60 4 

Reduction - Fractures or Fracture Dislocations 

U.V.C. Fracture of spine without procedure visit.fee 

Z236 Skull calipers (I.O.P.) 45.60 

Z241 Halo traction (lO.P.) 73.10 

Z246 Reapplication of Halo traction (I.O.P.) 45.60 

E562 - counter traction pins or vest - add 97.60 

F103 Closed reduction 5 184.20 5 

F105 Open reduction - posterior approach 5 283.00 10 

F107 - anterior approach 7 332.90 10 

E913 - with spinal cord injury, (when total care by operating surgeon) add 141.50 

- with irrigation, including opening of dura, to fractures when combined 

E927 with decompressive procedures, add 283.00 

E567 - fusion by same surgeon -one level, add 221.00 

E568 - two or more levels, add 281.70 

R493 - fusion by different surgeon - one level, add 282.60 

R494 - two or more levels, add 332.30 

E548 - with instrumentation, add 125.50 



250 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1105 



Code 



R631 
R630 



R469 
R514 
R470 



R439 
R440 
R553 
R241 
R442 
E589 
E593 
R481 
R443 
R488 



Z218 
E595 



R547 
R415 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM • Coat'd. 
PELVIS AND HIP 



AnputatioB 

Hemipetvectomy - hindquarter„ 

Hip disarticulatioii.. 



Arthrodcsb 

Sacro-iliac joint ..... 
Symphysis pubis. 
Hip 



Aaal — Sus Aaaa 

10 723.70 15 
10 408.20 10 



5 359J0 5 
5 351.70 6 
5 639J0 8 



Artbroplasty 

Bipolar 

Total hip replacement with take down of fusion . 

Revision total arthroplasty hip 

Surface replacement „ 

- bone graft to acetabulum, 

- acetabular reconstruction (extensive, including bone grafts). 

Reattachment of greater trochanter (late) 

Removal only - non cemented.. 

- cemented. 

Arthroscopy 

Hip joint (I.O.P.) (sole procedure) 

- preceding surgery (same surgeon) , 

Arthrotomy 

Sacro-iliac joint 

Hip - with removal of loose body.- 



6 

8 

8 
8 
8 

...add 

.add 

6 

3 
3 



Aspiratioo/Injcctioa - see Diagnostic and Therapeutic Procedures - Injections and 
Infusions 
Z290 Hip - infant or child, under general anaesthesia 



Biopsy 

Z212 Bone - punch needle (I.O.P.) 

Z217 - under general anaesthetic (I.OJ*.).. 

Z214 - open (I.O.P.) 

E563 Joint - via arthroscope 

R415 -open „ 5 

Z228 Soft tissue - open 

Denervation/Decompressioa 

N188 Decompression of lateral femoral cutaneous nerve 4 

N177 Exploration and/or decompression of sciatic nerve 6 

Exploration and/or decompression and/or transposition and/or neurolysis of major 

N285 nerve 4 

R427 Denervation of hip 4 



8 

8 

10 

10 

8 



446.20 
634.20 
886 JO 
88630 
770.90 
91.90 
17630 
264.00 
406.55 
506.90 



88J5 
57.40 



264.00 
274.10 



57.80 



65.80 

65.80 5 

131J5 4 

9.90 

274.10 6 

88.55 4 



138.40 4 

388.00 6 

230.70 4 

351.70 5 



251 



1106 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM . Cont'd. 

Code PELVIS AND HIP - Cont'd. Asst Surg Anat* 

Incision and Drainage 

R269 Bone, incision and drainage 3 264.00 4 

R249 Sequestrectomy 4 345.00 4 

R250 Saucerization and bone graft 4 570.15 5 

Z226 Bursae/soft tissue (I.O.P.) 88.55 4 

R415 Joint 5 274.10 6 

Examination/Manipulation 

Z252 Manipulation - under general anaesthetic (I.O.P.) 35.20 4 

- without general anaesthetic, see Diagnostic and Therapeutic 
Procedures - Physical Medicine. 

Excision • Bone 

R639 Simple cyst, etc 4 307.90 4 

R330 Major resection tumour 4 440.30 6 

R216 Radical resection tumour 8 704.25 8 

F115 Coccyx 4 189.80 4 

:^315 Head and neck, femur 4 411.60 6 

Excision - Muscle 

R522 Simple 3 175.40 4 

R523 Complex 4 440.30 6 

R524 Myositis 4 263.15 5 

Excision - Joint 

R423 Synovectomy/debridement 5 427.60 5 

Excision - Bursae 

R590 GT trochanteric/ischial 3 182.70 4 

Reconstruction • Pseudoarthrosis 

R364 Pelvis ~. 8 528.00 10 

R328 Hip 6 434.40 6 

Reconstruction - Osteotomy 

R265 Pelvis - infant 8 362.70 8 

R273 - other 8 528.00 8 

R263 Hip 5 490.00 7 

Reconstruction • Muscle/Tendon 

R521 Muscle release 5 285.90 5 

Z232 Closed adductors - tenotomy (I.O.P.) 44.30 4 

Z233 Open adductors - tenotomy (I.O.P.) 88.55 4 

R545 Iliopsoas - tenotomy 5 242.10 5 

Reconstruction • Tendon Transfer 

R570 Iliopsoas 5 473.20 6 

R569 Abductor 5 308.70 6 



252 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1107 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - CootU 
Code reLVIS AND HIP • CootU 



Asa Sues Anaa 



Rednctioa • Fractures 

U.V.C. Coccyx - no reduction 

F115 - excision 4 

U.V.C. Pelvic ring - no reduction -. 

F134 - dosed reduction 3 

F135 - open reduction 6 

U.V.C. Sacrum - no reduction 

U.V.C. FenMval neck trochanteric, subtrochanteric - no reduction 

PD96 - closed reduction/traction 

F099 - open reduction - pin only 

FlOO - pin and plate 

FlOl - primary prosthesis 

R600 - delayed/staged graft 

R607 Slipped epiphysis - closed reduction/traction - 6 

R642 - closed reduction/internal fixation 6 

R627 - open reduction/fixation 6 

Redactioa - Dislocations 
U.V.C. Acetabulum - no reduction . 
D052 
D046 
D047 
D042 
D043 
R628 
D059 
D060 



open reduction - lips . 



Hip - closed reduction . 

- open reduction.. 

- late 



one pillar 4 

-two pillars.» 



8 



Sacro-iliac - closed, traction, spica, etc . 
- open reduction.. 

U.V.C. Sacro-coccygeal - closed reduction 

D061 - open, removal of coccyx 5 

R404 Congenital hip - closed reduction (includes tenotomy and cast) 

R4(J5 - repeat (includes cast) 

R406 - open reduction (includes tenotomy and arthrotomy) 7 

2291 Application Pavlik Harness or C.D.H. splint 

FEMUR 

Ampotatioo 
R625 Gritti-Stokes or Callander.. 
R626 Through femur 



Biopsy (I.O.P.) 

Z869 Bone - core, punch 

Z870 - x-ray control/general anaesthetic . 

Z242 - open 

Z228 Soft tissue - open 



visitiee 
189.80 
visit.fee 
403.20 
618JÎ0 
visit.fee 
visit.fee 
388.00 
371.10 
454.60 
44620 
263.15 
351.70 
351.70 
528.00 



visit.fee 
556.70 
880.00 
1318.40 
243.70 
369.40 
704.25 
390.50 
538.90 
visitJee 
175.40 
172,90 
119.80 
429 JO 
21.90 



8 
10 
12 

4 
7 
10 
5 
5 

5 
4 

4 
7 



R2S6 Injection into bone cysts . 



5 277.10 5 
5 278.10 5 



35.65 4 

88.55 4 

175.40 4 

88.55 4 

106 JO 



253 



1108 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cont'd. 

Code FEMUR - Cont'd. Asst Sun. Ana^^ 

Incision and Drainage (Osteomyelitis) 

R242 Incision and drainage, bone 3 2%.00 4 

R245 Sequestrectomy 3 359.30 4 

R243 Saucerization and graft 5 563.40 6 

Z226 Soft tissue 88.55 4 

Excision • Bone 

R314 Simple cyst/exostosis 4 204.90 4 

R330 Bone tumour - simple 4 440.30 6 

R216 - with reconstruction/graft 8 704.25 8 

Excision • Muscle 

R522 Simple 3 175.40 4 

R523 Complex 4 440.30 6 

R328 Reconstruction - Pseudoarthrosis 6 434.40 6 

Reconstruction • Rascial 

R632 Simple 3 175.40 4 

R633 Complex with or without synthetic graft or rotation flap 4 366.00 5 

Reconstruction - Osteotomy 

R262 Femoral shaft 4 484.10 5 

R215 Supracondylar 4 351.70 6 

Reconstruction - Leg Length Operations 

R333 Femoral shortening - all types 4 436.80 4 

R332 Femoral lengthening - all types 4 492.60 4 

R340 Femoral epiphysiodesis 4 274.10 5 

R341 Tibial and femoral epiphysiodesis 4 388.00 5 

R343 Femoral stapling 4 285.10 4 

R344 Tibial and femoral stapling 4 351.70 5 

Reconstruction • Muscles/Tendons 

R589 Quadriceps repair - simple 3 206.65 4 

R587 - reconstructive 3 351.70 4 

R530 Quadricepsplasty - all types 4 346.70 5 

R561 Ilio-tibial band 3 172.10 4 

Z197 Closed release of ilio-tibial band (I.O.P.) 44.80 4 

R543 Tenotomy of hamstrings - single 3 153.50 4 

R562 -multiple 3 175.40 4 

R557 Lengthening of hamstrings • single 3 203.30 4 

E050 - each additional, add 69.65 

R571 Tendon or muscle transfer 3 279.20 5 

E049 - each additional, add 80.00 l(max) 

R524 Excision of myositis 4 263.15 5 



254 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1109 



C*àt 



u.v.c. 

F094 
F09S 

FD97 
F096 



R625 



R468 



R509 
R482 
R4S3 
R441 
R248 
R244 
ES98 
R4% 
R497 
ES64 



Z218 
R191 
R192 
R193 
R194 
R195 
R196 
R197 
R19e 
R199 
R203 
R204 
R2QS 
R206 
R207 
R208 
E595 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM • Coat'4. 
FEMUR -Ctwt'd. 

RedactkM • FractwTs 

Femoral shaft/supracoodyiar 

- no reduction - cast - bed rest , 



- dosed reduction - traction - infant or child . 



- adult or adolescent. 



- closed reduction -cast. 

- open reduction 



KNEE 

Aapstatioa 

Through knee - disarticulatioa . 



Arthrodesis 
Knee. 

Arthroplasty 

Patellar arthroplasty . 
Hemi-arthroplasty - single component (e.g. Macintosh). 
- double component (e^ Mannar)... 
Total replacement/both compartments. 
Total knee replacement with take down of fusion . 
Revision total arthroplasty knee. 
With associated patellar replacement or patelloplasty, .... 
Removal of hemi-arthroplasty - without replacement. 
Removal of total arthroplasty - without replacement . 
Revision of arthroplasty, add 35% 

ArtlutMCopy 

Diagnostic arthroscopy (sole procedure) . 

- synovial biopsy 

- trimming of plica, tissue, meniscus . 

- removal of loose body, screw.. 

- resection of plica 

- lateral release .... 
• synovectomy - anterior, 1 compartment. 

- synovectomy - anterior, more than 1 compartment. 

- synovectomy - total, anterior and posterior 

- drilling of defect (includes removal of loose body) . 

- pinning of osteochondral fragment.. 

- debridement - 1 compartment.. 

- debridement - more than 1 compartment. 

- abrasion arthroplasty 

- menisectomy „ 

- repair medial or lateral meniscus . 

- in association with surgery - same surgeon ... 





visitiee 




3 


234 JO 


4 


3 


37025 


4 


3 


235 JO 


4 


6 


448.70 


8 



.add 



277.10 



365.60 



3 


220.15 


5 


6 


319.70 


6 


6 


406J5 


6 


8 


563.40 


8 


8 


761.60 


8 


8 


761.60 
85.60 


8 


4 


220.15 


5 


4 


334.80 


5 


3 


8835 




3 


40JOO 




3 


58.10 




3 


175.40 




3 


80.70 




3 


146.80 




3 


119J0 




3 


239.45 




3 


437.80 




3 


229 JO 




3 


229 JO 




3 


229 JO 




3 


297.60 




3 


262J0 




3 


219 JO 




3 


219J0 
57.40 





255 



1110 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cont'd. 
Code KNEE • Cont'd. Asst Surp Anaes 

Arthrotomy 

R412 Knee - with or without removal of loose body 3 188.90 4 

R413 Osteochondritis dissecans with drilling and/or internal fixaticMi 3 242.90 4 

Aspiration - see Diagnostic and Therapeutic Procedures - Injections or Infusions 

Biopsy 

Z870 Bone^oint - needle (I.O.P.) 88.55 4 

Z242 - open (I.O.P.) 4 175.40 4 

E563 - via arthroscope 9.90 

Z228 Soft tissue - open (I.O.P.) 88.55 4 

Denervation/Decompression 

R426 Denervation of knee 3 234.30 4 

N285 Denervation of gastrocnemius 4 230.70 4 

Incision and Drainage 

2226 Soft Tissue (I.O.P.) 88.55 4 

R444 Joint 3 175.40 4 

Examinatioa/Manipulation 

Z222 Manipulation - under general anaesthetic (I.O.P.) 21.50 4 

- without general anaesthetic, see Diagnostic and Therapeutic 
Procedures - Physical Medicine 

Excision 

R431 Baker's cyst - simple 3 134.90 4 

R434 - extensive 4 240.00 6 

R501 Cysts of meniscus 3 114.70 4 

R429 Meniscectomy 3 218.90 4 

R417 Debridement of joint without synovectomy 3 264.00 4 

R424 Synovectomy : 3 390.90 5 

R506 Prepatellar bursae 3 135.60 4 

R312 Patella - to mclude fascial repair 3 251.40 4 

R318 Excision exostosis/cyst patella 3 114.70 4 

Reconstruction • Meniscus 

R508 Suturing of medial or lateral meniscus 3 220.15 5 

Reconstruction • Muscies/Tendons 

R584 Tenoplasty - one 3 131.80 4 

E050 - each additional, add 69.65 

R589 Suture of patellar or quadriceps tendon - early 3 206.65 4 

R587 -late 3 351.70 4 

R571 Transplant of tendon - single 3 279.20 5 

E049 - each additional add 80.00 l(max.) 



256 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1111 



QmIc 

Z237 
Z238 
R564 
R566 
R516 



R599 
R542 
R484 
R539 



F085 
F087 
F021 



D038 
D039 

ixm 

D031 
D041 
R255 
R403 

R515 



OPERATIONS ON THE MUSCULOSKELETAL SYSTHM . Cwt'4. 
KNEE • CoBt'd. 

Tenotomy - closed - one 



Aasî Smx Àoaca. 



- multiple.. 
' open - one.. 



multiple. 



Release patellar retinaculum.... 



RccoastmctHM • LigMiients 

Ligaments - simple/ooe 



extensive/multiple (including synthetics) . 

- S3mthetic anterior/posterior cruciate 

- removal of synthetics 



Rcdnctioa • Fractures 

Patella - no reduction „ 

- open reduction or excision with or without repair. 
Osteochondral fracture - open reduction . 

Redoctioa • Dislocatioiis 
Knee - closed reduction.. 
- open reduction... 



Patella - closed reduction - without anaesthetic.. 

- with anaesthetic 

- open reduction - early 

- late. 

- repair recurrent dlsIocatioB (iadmics iaspectioa oT joiot) . 4 
Congenital dislocation - knee ((^len) 4 

FIBULA AND TIBIA 



Aapatatioa 

R624 Tibia/fibula. 

Biopsy 

Z870 Bone - simple - pundi. 

Z242 - open 

7,778 Soft tissue - open . 
R2S6 Injection into bone cysts . 



Decompressioo/Dencrvatioo 

R495 Decompression of fascial compartments . 
Z783 Secondary closure . 



Z251 Catheter insertion (I.O.P.) 

U.V.C. Monitoring of pressure monitoring device 

N184 IDecompression of posterior tibial or common perineal nerve... 

locisioD and Drainage (Osteomyelitis) 

R237 Incision and drainage, bone 

R239 Sequestrectomy 

R238 Saucerization and bone grafting 

Z226 Soft tissue 



44J0 4 

65.75 4 

210.90 4 

230J0 4 

146.80 5 



32830 4 

470.60 6 

448J0 6 

194.00 4 



61.40 

250.20 4 
228J0 5 



188.90 
280 JO 
5630 
8835 
263.70 
440 JO 
35735 
440 JO 



278.10 



8835 4 

175.40 4 

8835 4 
10630 



291.90 4 

8835 

4430 
visitiee 
149.70 4 



TSOJOO 4 

299.40 4 

373.70 4 

8835 4 



257 



1112 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cont'd. 

Code FIBULA AND TIBIA -CootU Asst Snry AnaP« 

Excision 

R311 Exostosis/cyst 3 182.70 4 

R210 Fibular head 3 175.40 4 

R295 Tumour - simple 4 263.15 4 

R253 - extensive with repair 5 615.70 6 

R246 Excision bony ridge to include interpositional materials 5 350.00 6 

R522 Muscle/soft tissue - simple 3 175.40 4 

R523 - complex 4 440.30 6 

Reconstruction - Pseudoarthrosis 

R326 Tibia/fibula 4 316.30 5 

R327 By-pass fibular graft 4 310.40 6 

R372 Congenital pseudoarthrosis 4 440.30 6 

Reconstructive - Osteotomy 

R289 Tibia and fibula - adult or child 3 342.30 4 

R403 Repair recurrent dislocation (includes inspection of the joint) 4 35735 5 

Reconstruction • Leg Length Operations 

R331 Tibial lengthening 4 427.60 4 

R458 Tibial shortening 4 351.70 4 

R341 Tibial and femoral epiphysiodesis 4 388.00 5 

R339 Tibial epiphysiodesis 4 292.70 5 

R342 Tibial stapling - one side 4 175.40 4 

R460 - both sides 4 220.15 4 

R344 Tibial and femoral stapling 4 351.70 5 

Reduction • Fractures 

Tibia with or without fibula 

P078 - no reduction, rigid immobilization 105.60 

F079 - closed reduction 3 163.60 4 

F080 - open reduction - shaft 4 323.90 5 

F081 - medial or lateral tibial plateau 4 358.50 5 

E532 - both tibial plateaus, same knee, add 50% 

F082 Fibula • no reduction, rigid immobilization 61.40 

FD83 - closed reduction 91.50 4 

F084 - open reduction 4 208.95 4 

FOOT AND ANKLE 

Amputation 

R620 Metatarsal/phalanx disarticulation 4 141.70 4 

E585 - each additional 42.80 

R621 Ray (single) 4 197.35 4 

R623 Symes 5 259.70 5 

R622 Transmetatarsal/transtarsal 4 213.80 4 

R619 Terminal Symes 4 131.55 4 



258 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1113 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cont'd. 
Code FOOT AND ANKLE. Cont'd. 



Aast — Suck Aaass. 



Arthrodesis 

R466 AnkJc „ 3 

R471 Interphalangeal 3 

E575 - each additional 

R477 Metatarsophalyngeal 3 

R474 Midtarsal/subtalar 3 

R513 Triple 3 

R475 Pan-talar, one stage 3 

Arthroplasty 

R48S Ankle - total replacement 6 

R247 Revision total arthroplasty ankle w. 6 

R479 Removal of prosthesis without replacement 3 

Metatarsophalyngeal interposition 

R456 -single „ 3 

E538 - each additional, „ add 

R453 Metatarsophalyngeal (Swansons, etc.) _ 3 

R454 -multiple 3 

RSOO Removal - prosthesis without replacement 3 

E564 Revision of arthroplasty, add 35% „ 

ArikoKOfif 

Z218 Diagnostic arthroscopy (sole procedure) 3 

R211 - synovial biopsy 3 

R212 - removal of loose body, screw 3 

R213 - drilling of defect (includes removal of loose body) 3 

R221 - debridement - local 3 

R224 -total 3 

R230 - synovectomy - partial 3 

R232 -total 3 

R233 - pinning of osteochondral fragment 3 

E595 - in association with surgery - same surgeon „ 

Arthrotomy 

R503 Ankle - removal of loose body, etc 3 

E539 - with osteotomy of malleolus, add 

R504 Mid tarsals 3 

R505 Metatarsal/phalangeal 3 

Aspiration - see Diagnostic and Therapeutic Procedure - Injections or Infusions 

Biopsy 

Z869 Bone - needle - punch (I.O.P.) 

ZJSTO - punch - under general anaesthetic 

Z242 -open 4 

E563 Joint - via arthroscope 

R409 -open 

Z228 Soft tissue - open (I.O.P.) 



354.20 
143.80 
37.90 
244.60 
320.10 
351.70 
56930 



131.55 
34.90 
263.15 
351.70 
131.55 



88.55 
40.00 
175.40 
229 JO 
229 JO 
297.60 
178.70 
438.55 
229 JO 
57.40 



388.00 6 
512J0 6 
175.40 6 



151.70 4 
106.90 

131.55 4 

13135 4 



35.65 


4 


88J5 


4 


175.40 


4 


9.90 




152.20 


4 


88.55 


4 



259 



1114 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



OPERATIONS ON THE MUSCULOSiŒLETAL SYSTEM • CoatU 

Code FOOT AND ANKLE -Cont'd. Asst Siiry AnaP< 

Incision and Drainage 

R220 Incision and drainage - bone 3 206.50 4 

R201 Sequestrectomy 4 175.40 4 

R202 Saucerization and bone graft 4 351.70 4 

Z226 Bursae (I.O.P.) 88.55 4 

R503 Joints 3 151.70 4 

Z228 Soft tissue (I.O.P.) 88.55 4 

Examination/Manipulation 

7.27,7, - under general anaesthetic 21.50 4 

- without general anaesthetic, see Diagnostic and Therapeutic Procedures - 
PhysicalMedicine 
Ciub foot, etc. - manipulation and cast/strapping 

Z235 - without anaesthetic 18.00 

Z224 - with anaesthetic 35.20 4 

Excision • Bone 

R299 Phalanx. 3 115.55 4 

R309 Metatarsal head 3 159.00 4 

E587 - each additional 37.90 

R305 Accessory navicular (scaphoid) 3 141.50 4 

R302 Bunion/bunionette 3 136.60 4 

R307 Calcaneal spur 3 126.50 4 

R282 Exostosis (dorsal, subungual) 3 91.10 4 

R308 Os calcis, talus 3 258.10 4 

R301 Sesamoid, one or both 3 128.70 4 

R306 Tarsal bar 3 209.20 4 

R266 Tumour (foot) 3 219.30 4 

Excision - Joint 

R420 Ankle synovectomy 3 248.60 4 

R425 Metatarsophalangeal synovectomy - one 3 205.40 4 

R414 -two or more 3 308J0 4 

Excision - Soft Tissue 

R549 Ganglion - simple or complex 3 109.40 4 

R506 Bursa 3 135.60 4 

R551 Fascia (Dupytrens) - partial or complete 3 301.30 4 

R522 Muscle - simple 3 175.40 4 

R523 - complex 4 44030 6 

Reconstruction - Pseudoarthrosis 

R363 Malleoli 3 268.80 4 

R321 Tarsals/metatarsals/phalanx 3 236.50 4 

Reconstruction - Osteotomy 

R259 Os calcis 3 270.30 4 

R276 Metatarsals and phalanx 3 13U5 4 

E596 - each additional 37.90 



260 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1115 



CMe 

R277 
R337 
IU38 



R430 
E594 
R304 
R355 
R360 
R446 



R406 
R448 



R313 

R546 



R597 
R548 



R640 
R556 
E599 
R5d5 
E055 
R572 
R560 
E053 
R557 
E050 
R578 
ES80 
R585 
E581 
R589 
R587 
R579 
R581 
Z229 
Z243 
R544 
R555 



OPERATIONS ON THE MUSCULOSKELETAL SYSTEM • C«af d. 

FOOT AND ANKLE -ComVi. 

Midtarsal/tarsal 

Shortening metatarsal - one 



6sai Sus 6aaa. 



two or more. 



RecoBstmctioB - Forefoot 

Claw and hammer toe 



- each additional hammer toe,__ 

Hallux Valgus - e^ Mayo, Keller 

- e^ Joplin, McBride. 
Major forefoot reconstruction - max. 
Overlapping Sth toe . 



-add 



RecoBstrvctioB • Qub Fool 

Posterior or medial release 4 

Posteromedial release, lateral shortening, tendon transfers and fusion 4 

CoHipla recoattnKtioB or revisioa of previoas dob foot repair (aot to iadodc 

fiaplr twioB releases) 4 

Plantar fiascia release (Steindler) 3 



RecoBstmctioB - Ligamcats 

Ankk - one. 

- extensive/muhiple 

Rccoastmctioa - Tendons 
E]q>k>ration - tendon sheath 

Tenolysis - extensive release - one 

- each additional digit,.. 

Tendon transfer foot and ankle - single 

• each additional, 

Tenodesis. 
Graft. 

- each additional, . 



Lengthening or shortening - one . 

- each additional,. 
Suture extensor tendon • one. 

- each additional . 

Suture flexor tendon - one _ 

- each additional, . 
Achilles tendon repair - early. 

•late. 
Tenotomy - open - one toe . 

- more than one toe . 
- dosed - one toe (I.O J».) . 



more than one toe (LOJ*.). 



Achilles or tibialis anterior/posterior tenotomy • open . 



add 



add 



add 



add 



add 



220.15 4 
204.90 4 
248.00 4 



13730 
37.90 
19735 
242J0 
335 JO 
124.00 



-dosed. 



114.70 
183.85 

79 JO 
230.20 

86.25 
235 JO 
230.20 

8625 
203 JO 

69ii5 
114.70 

42J0 
215.10 

80.10 
206.65 
351.70 

79 JO 
175.40 

44 JO 

88.55 
155.70 
120 JO 



284.20 4 

337.00 4 

425.90 4 

150.10 4 



210.90 4 
357.40 4 



4 
4 

4 

l(max.) 

4 

4 



261 



1116 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MUSCULOSKELETAL SYSTEM - Cont'd. 

Code FOOT AND ANKLE - Cont'd. Asst Surg Anaes 

Reduction • Fractures 

F074 Ankle - no reduction, rigid immobilization 61.40 

F075 - closed reduction 3 131.55 4 

F076 - open - one malleolus 4 215.90 4 

F077 - multiple malleoli or ligaments 4 283.40 5 

F104 Ankle fracture with tibial Plafond burst - closed reduction 3 220.15 4 

F108 - open reduction 4 330.60 6 

F061 Metatarsus - no reduction - one or more 44.30 

F062 - with rigid immobilization 61.40 

F063 - closed reduction - one or more 3 89.00 4 

F064 - open reduction - one 4 161.50 4 

F065 - two or more 4 226.50 4 

F070 Os calds - no reduction - rigid immobilization 88.55 

F071 - closed reduction 146.80 4 

F072 - open reduction 4 256.00 4 

F056 Phalanx - no reduction - rigid immobilization - one 45.20 

E560 - each additional 11.00 

F058 - closed reduction - one 66.75 4 

E561 - each additional 13.50 

P060 - open reduction 4 157.00 4 

P066 Tarsus excluding os calcis - no reduction - rigid immobilization 89.50 

F067 - closed reduction 3 149.70 4 

F068 - open reduction 4 215.50 4 

F057 Intra-articular fracture - LP. joint - closed reduction 71.30 

F059 - open reduction 3 131.55 4 

Reduction • Dislocations 

D035 Ankle - closed reduction 4 101.40 4 

D036 - open reduction 4 229.00 4 

R402 - recurrent dislocation and/or subluxation 4 333.60 5 

D027 Interphalangeal - closed reduction ! 52.50 4 

E578 - each additional 9.00 

D029 - open reduction 4 137.90 4 

IX)30 Metatarsophalangeal - closed reduction 52.00 4 

E579 - each additional 9.00 

D032 - open reduction 4 148.40 4 

D033 Tarsus - closed reduction 133.70 4 

D034 - open reduction 4 229.00 4 



262 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1117 



OPERATIONS ON THE RESPIRATORY SYSTEM 
Code NOSE ASSl Sun» AnaiHi 

Nasopharynx 

E.U.G.A. of nasopharynx for malignant disease including biopsies (not to be charged 

Z298 if done in conjunction with T & A, adenoidectomy or quadroscopy (I.O.P.)) 37.10 4 

R181 Excision of nasopharyngeal lesion with palatal split 4 463.00 7 

Excision of nasopharyngeal lesion with mandibulotomy, glossotomy and/or 
R182 palatal split 7 899.80 10 

Fiberoptic endoscopy of upper airway (nose, hypopharynx or larynx)(I.OP.) 

Z296 - if only operative procedure performed 1620 

2297 Insertion of prosthesis for nasal septal perforation (I.OJ».) 16.20 

Indsioa (LO.P.) 

Z301 Drainage of abscess or haematoma 50.70 4 

Turbinate reduction - uni or bilateral (to include cautery, cryosurgery, 
Z302 turbinectomy) 50.70 4 

Exdsioa 

Z304 Nasal polyp (I.O.P.) - sin^ 19.10 

Z305 - multiple or involving general anaesthetic (unilateral) 50.70 4 

Z308 Choanal polypectomy (I.O.P.) - unilateral 50.70 4 

Z309 Biopsy (I.O.P.) - single 16.20 

Z310 - multiple or involving general anaesthetic 46 JO 4 

Z311 Removal of foreign body (I.O.P.) - simple 9.40 

Z312 - complicated, or involving general anaesthetic 46 JO 4 

MOlO Excision of intranasal lesions by lateral rhinotomy approach 4 449.90 7 

MOll Excision of other intranasal lesions (See Preamble, paragraph BJ2) I.C. I.C. I.C. 

Reconstmctlon 

Septoplasty (when antrum lavage, polypectomy, turbinate reduction, intranasal 
etnmoidectomies or antrostomies are done in addition, add 50% of the appropriate 

M012 fees to M012, M013, M014, MG15, M0I6, MO», M024) 

M013 Partial septorhinoplasty (excluding osteotomies) 

M014 Septorhinoplasty 

M019 - with autologous bone or cartilage graft - from site other than nose 3 

M024 - with non-autologous graft or implant 4 

R319 Graft to nose - autologous, bone or cartilage (without septorhinoplasty) 4 

R320 - non-autologous or prosthetic implant (without septorhinoplasty) 4 

Note: M013, M014, M019, M024, R319, R320 - claims for these procedures require OHIP 
authorization. (See Surgical Preamble, paragraph (17)). 

M015 Septodermoplasty (to mclude fascial and other grafts) 

M016 Repair of septal perforation 

M017 Packing for localization of cerebrospinal rhinorrhea „ 

E603 - with fluorescein injection, add 

M033 Closure or opening of niTstril for atrophic rhinitis „ 

Endonasal augmentation for atrophic rhinitis - unilateral (including obtaining graft or 

M018 preparing implant) 

M020 Repair of choanal atresia - uni or bilateral 4 



229 JO 


4 


328 JO 


7 


441.20 


7 


629.00 


7 


494 JO 


7 


328 JO 


4 


211.40 


4 



279 J5 


4 


326.70 


4 


36.05 


4 


46 JO 




231J0 


4 


279 J5 


4 


328J0 


4 



263 



1118 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



OPERATIONS ON THE RESPIRATORY SYSTEM - Cont'd. 

Code NOSE - Cont'd. 

M021 Puncture and insertion of tube for choanal atresia - uni or bilateral 

M028 Dilation of choanal atresia - uni or bilateral 

Rhinoplasty for reconstruction of cleft lip - nasal deformity (not to be billed with 

repair of cleft lip) 

M030 - complex, to include necessary grafts and septoplasty 4 

M032 - tip and septum to include total take down of cleft lip 

- tip and septum reconstruction to include minor lip repair (Minor revision, 
M031 Z-plasty) 

Treatment of Epistaxis (Nasal Haemorrhage) 

Z314 Cauterization (I.O.P.) - unilateral 

Z315 Anterior packing (I.O.P.) - unilateral 

2316 Posterior packing (I.O.P.) - uni or bilateral 

M027 Ligation of external carotid artery - unilateral 6 

R788 Ligation of internal maxillary artery - unilateral 7 

R789 Ligation of anterior ethmoidal artery - unilateral '. 6 

ACCESSORY NASAL SINUSES 

Antrum or sinus lavage (I.O.P.) 

Z319 Antral puncture and/or lavage - uni or bilateral 

M054 Maxillary, intranasal antrostomy - unilateral 4 

M055 Maxillary, Caldwell-Luc (intranasal antrostomy included) - unilateral 4 

M056 Maxillectomy - partial or complete 7 

E947 - with orbital exenteration, .- add 

Z318 Frontal trephine or sinusotomy (I.O.P.) 

M058 Radical frontal sinusectomy 

Coronal and/or osteoplastic procedure for frontal sinusectomy, reconstruction or 

M063 obliteration - unilateral or bilateral 7 

M0S9 External frontal-ethmoidal sinusectomy and/or reconstruction - unilateral 4 

M060 Intranasal ethmoidectomy - unilateral ; 

External or transantral ethmoidectomy - unilateral (to include Caldwell-Luc with 

M023 transantral approach) 4 

M061 Trans-septal sphenoidotomy or sphenoid sinusectomy 

M064 External transethmoidol sphenoidotomy or sphenoid sinusectomy 7 

M062 Vidian neurectomy - unilateral 4 

M066 Closure of antral fistula - minor 

M067 - complex or involving general anaesthetic (to include Caldwell-Luc if necessary) . 

LARYNX 

Endoscopies (I.O.P.) 

Laryngoscopy: 

Z321 Direct - with or without biopsy 

2322 - with removal of foreign body 

Z323 - with removal of lesion(s) 

Z343 - vnth dilatation of larynx, to include bronchoscopy if necessary 



Asst 


Surg 


Anaes 




112.50 


4 




67.50 


4 


4 


563.50 


7 




390.70 


6 



231.50 



10.30 


4 


13.90 


4 


32.40 


4 


270.80 


6 


367.70 


10 


270.80 


6 



38.90 


4 


112.50 


4 


225.40 


4 


707.60 


10 


279.55 




121.40 


4 


41930 


5 


652.60 


10 


419.30 


6 


144.10 


4 


328 JO 


4 


324.00 


4 


558.20 


10 


232.40 


4 


90.00 


4 


314.50 


5 



55.90 6 

97.00 6 

135.00 6 

184.25 6 



264 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1119 



cut 



M090 
M089 
Z320 
Z3Q3 



Z327 
E632 
E633 
E634 
E635 

E636 

E6y7 
E638 
E622 

Z359 



Z355 



OPERATIONS ON THE RESPIRATORY SYSTEM • CMt'd. 
LARYNX • CoBt'd. 



2324 indirect - with biopsy or removal of fc»reign body 

E600 Using operating microscope - to charges for laryngoscopy. 

iBtrodoctioo 
MOSO Teflon augmentation larynx 



Assl Sua Aaaa. 

32.40 6 
.add 30.60 



ExdsioB (to include laryngoscopy) 

MOBl Laryngectomy - total 

E882 - with bemi thyroidectomy, 

E883 • with subtotal thyroidectomy.» 

E884 - with total thyroidectomy, 

M082 LaryngoTissure . 



.add 



.add 
.add 



M084 Laryngectomy • segmental, including recoostnictioo . 



M085 Arytenoidectomy or arytenoidopexy or lateralization procedure . 



Repair ( to indiKk laryngoscopy) 

Laryngoplasty - e.g. repair of stenosis and fractures, transsections - not to be Inlkd 

wuh M084 

Creation of tracheo-oesophageal fistula . 

insertion of voice prosthesis (I.O J*.) 

Removal of laryngeal stent or keel 



TRACHEA AND BRONCHI 

Preanlile: 

(l)When laryngoscopy and bronchoscopy or oesophago-broochoscopy are carried 
out as combinea procedures, the physician should claim for one or the other 
but not both. 

(2)No claim should be made for bronchoscopy carried out immediately following 
thoracic surgery under the same anaesthetic by the same surgeon. 

Endoscopy (I.OJ>.) 
Bronchoscopy 

- with or without bronchial biopsy, suction or injection of contrast material 

- with removal of foreign body, *dd 

- with dilatati» n of stricture, __~_ add 

- with selective endobronchial blocker or catheter insertion, add 

- with palliative endobronchial tumour resection including laser or cryotherapy,.... add 

- with broncho alveolar lavage for obtaining specimens suiuble for differential cellular 

analysis (for assessment of interstitial lung disease), add 

- with selective brushings of all 18 segmental bronchi for occuh carcinoma 

in situ; specimens labelled as to site, add 

- with transbronchial lung biopsy under image intensification only, JKid 

- any bronchoscopic procedure for patients under 3 years of age, add 

Repeat bronchoscopy for tracheobronchial toilet when performed within one 

week of another bronchoscopic procedure — 

Quadroscopy or panendoscopy - with or without biopsy (nasopharyngoscopy, 
laryngoscopy, bronchoscopy, oesophagoscopy with or without gastroduodenoscopy), 

using separate instruments in search of malignant disease 



166.00 6 



764.40 
161.60 
242.90 
340.70 
40535 
809.80 
359.90 



46 JO 



165.15 



13 



585J0 6 

180.00 4 

23 JO 

94J5 4 



102.10 


6 


58.60 


2 


40.40 




40.40 




58.60 




2230 




62.90 




6730 




72.10 


2 



265 



1120 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



OPERATIONS ON THE RESPIRATORY SYSTEM - ContU 

Code TRACHEA AND BRONCHI - Cont'd. Aaat Surg Anaes 

Tracheo-bronchial aspiratioa (I.O.P.) 

Z344 First procedure 33.60 

Z345 Subsequent procedures performed by same physician 16.80 

Note: Not to apply to (1) operating surgeons, 

(2) when respiratory unit fees apply or 

(3) within the first two hours post-operatively 

Z326 Change of tracheostomy tube 10.20 

Z346 Transtracheal aspiration 20J0 

Z356 Closure of persistent tracheostoma 121.50 6 

Incision (I.O.P.) 

Z741 Tracheotomy 3 142.30 6 

E639 - with anterior cricoid split, add 71.20 

Z738 Insertion of Montgomery T" Tube or similar laryngeol or tracheal stent 4 196.10 8 

Excision 

M099 Segmental resection of cervical trachea 9 734.00 10 

E631 - with resection of cricoid, add 283.90 

M103 Segmental resection of trachea with either sternotomy or thoracotomy 9 1169.65 13 

M104 Carina! resection (without pulmonjiry resection) 11 746.50 15 

E623 Re-operation after 30 days, add 375.40 

Repair 

MlOO Tracheal rupture, transcervical 9 591.40 10 

MlOl Tracheal-bronchJal rupture, transthoracic 9 784.40 13 

CHEST WALL AND MEDIASTINUM 

Excision 

M105 Chest wall tumour, resection of 2 or 3 ribs or cartilages » 9 467.50 13 

E601 - for each additional rib (more than 3) to a max. of 3 additional, add 52.00 

E602 - with sternal resection, add 160.80 

M107 Total stemectomy 9 734.00 13 

N284 Excision of first rib and/or cervical rib to include scalenotomy when required 6 368.80 6 

M106 Mediastinal tumour 9 587.30 13 

M108 Ligation of thoracic duct - as sole procedure 6 371.40 6 

Repair 

M109 Chest wall - pleura - closed (see Preamble, paragraph B.32) I.C. 5 

MHO - open (see Preamble, paragraph 832) I.C. 13 

M116 Chest wall fixation for trauma 4 316.40 6 

E604 - for fixation of each additional rib exceeding four ribs, add 50.20 2 

M117 Sternal fixation for trauma 4 227.20 6 

R352 Pectus excavatum or carinatum repair (by reconstruction, not implant) 6 623.90 11 



266 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1121 



Code 



Mill 
E60S 
Z742 



Z353 
Z354 

Z357 
Z358 



Z329 
Z330 

Z333 
Z348 
Z347 



Z331 
Z332 
E606 

Z334 
Z335 



Z340 
Z336 
Z341 
E606 
Z337 
M133 
M137 
M134 
M132 
M130 
E609 

E610 
M135 

Z339 



OPERATIONS ON THE RESPIRATORY SYSTEM - Caat'd. 
CHEST WALL AND MEDIASTINUM ■ Caat'4. 

SniiBiad Collapse 

Tlioracoplasty - one stage . 



for each additkmal r3> (more than 3) to a max. of 3 adtfidooal,. 
Phrenicotomy (I-O J*.) 



.add 



ladsioa 

Indsiooa] biopsy of chest wall tumoor (I.O J*.) . 

Exdsional biopsy of rib for tumour (I.O P.) 

Thoracic window creation (I.O J*.) „_„_______ 

Thoradc window closure (I.O P.) 



Eadoacoples (I.O.P.) 
Mediastinoscopy.. 



- with bronchoscopy 

- with transbronchial biopsy under image intensifîcatioa (including 
bronchoscopy) „ 

- with bronchoscopy and mediastinotomy. 
Anterior mediastinotomy - when sole procedure performed. 

LUNGS AND PLEURA 

Introdoctioa - Thoracentesis (I.O.P.) 

Aspiration for diagnostic sample „ 

Aspiration with therapeutic drainage with or without diagnostic sample 

Administration of chemotherapy or sclerosing agent, add 

Total unilateral lung lavage with or without bronchoscopy using douUe lumen tube 
and single lung anaesthesia 

Endoscopy (I.O.P.) 

Thoracoscopy (pleuroscopy) with or without pleural biopsy, suction, etc 

IndsioB 

Biopsy of lung, needle (I.O J*.) 



9 


275iM 
50.20 


10 


3 


96.10 


5 


3 


80.80 


4 


4 


12830 


6 


5 


206JO 


7 


4 


10050 


6 




169.40 


6 




224.40 


6 




248.80 


6 


3 


316.00 


6 


3 


179.05 


6 



Biopsy of pleura, needle (I.O J*.) - including diagnostic aspiration. 

Closed drainage effusion or pneumothorax, (I.OJ*.) 

- with administration of chemotherapy or sclerosing agent, 

Rib resection for drainage (I.O.P.) . 



Thoracotomy for removal of foreign body . 

Thoracotomy with or without biopsy .... 

Thoracotomy for post -operative haemorrhage or empyema. 

Thoracotomy with repair of ruptured diaphragm. 

Closure of broncho-pleural Tistula (transthoracic or trans-sternal) 

- with intercostal muscle bundle, 

- with myovascular flap (pectoralis m^or, latissimus dorsi, rectus 
abdominus), 

Major decortication of lung for empyema or tumour 

Intercostal drainage with insufflation of sclerosing ageitt under general 
anaesthesia (I.O.P.) „ 



.add 

6 

. 9 

9 

9 

9 

9 

.add 

.add 
11 

4 



22.60 

41.70 4 
2L00 

275J0 13 



10030 



83.00 

41.70 

56.80 

21.00 

11430 

353.00 

353.00 

353.00 

458.60 

528.40 

110.10 



4 
4 
4 

6 
13 
13 
13 
13 
13 



238.45 
536J0 15 

165.15 6 



267 



1122 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



OPERATIONS ON THE RESPIRATORY SYSTEM - Cont'd. 

Code LUNGS AND PLEURA - Cont'd. Asst Surg Anaes 

Excision 

Z338 Biopsy of pleura or lung -with limited thoracotomy (LO.P.) 9 183.40 13 

M138 Hilar lymph node or lung biopsy with full thoracotomy 9 371.20 13 

Pneumonectomy with or without radical mediastinal node dissection or pericardial 

M142 resection requiring repair 10 864.90 14 

E612 - total cxtra-pleural pneumonectomy, add 305.70 

E613 - sleeve pneumonectomy, add 224.50 

E614 - omental graft, add 146.80 

E615 - intra-pericardial dissection, add 109.20 

E611 - with resection of diaphragm including reconstruction 131.00 

M143 Lobectomy with or without radical mediastinal node dissection 10 864.90 D 

E616 - bi-Iobectomy on right side, add 128.40 

E617 - with pleural tent, add 71.20 

E618 - with decortication of remaining lobe(s) 110.10 2 

E619 - sleeve lobectomy, add 146.80 

E620 - with wedge bronchoplasty, add 71.20 

E611 - with resection of diaphragm including reconstruction 131.00 

E621 - with diagnostic wedge resection 41.50 

E624 - with completion pneumonectomy for positive resection margin, add 100.50 

E625 - with sleeve resection of pulmonary artery, add 128.50 

M144 Segmental resection, including segmental bronchus and artery 10 864.90 13 

M145 Wedge resection of lung 10 388.70 13 

E608 - each additional (to a maximum of three) 56.80 

E611 - with resection of diaphragm including reconstruction 131.00 

M151 BuUectomy for major bullous disease 10 576.60 13 

M149 Pleurectomy, and/or apical bullectomy for pneumothorax 10 388.70 13 

Re-operation more than 30 days subsequent to previous excision, to appropriate 

E607 excision fee add 137.60 

M155 Lung Transplantation 18 1428.00 25 

M157 Donor Heart - Lung removal ., 8 630.20 8 



268 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1123 



Code 

R700 
Note: 

E650 



Z743 
Z780 



Z744 
Note: 

Z781 



Z751 
Z782 



Ed55 
Z759 



E670 
E671 



R765 



Z444 
Z44S 

Z435 



OPERATIONS ON THE CARDIOVASCULAR SYSTEM 



(a) with hypothermia and without bypass - basic fee for cardiovascular procedures.... 

R700 REPLACES PROCEDURAL BASIC code vAen hypothermia is used 
where basic is less than 25 units. 

(b) pump bypass - (anaesthetist - see Preamble) 

(bypass includes cannulating and decannulating heart or major vein, major 
artery, supervision of pump and pump run.) 

(c) circulatory assist device e.g. intra-aortic ballooo (includes cannulation, repair of 

artery, daily care and supervision)(I.O J*.) 

- open. 

- percutaneous... 

(d) decannulation of circulatory assist device (includes repair of artery)(I.O.P.) 

- open 

R8LS not to be claimed in addition to Z744. 



Assl SiiEK àaass. 

25 



327.40 28 



percutaneous... 



(e) repositioning of mtra-aortic balloon pump (no charge to be made for repositioning 

within 24 hrs of original inscrtion)(I.O.P.) - open 

-percutaneous 

(f) re-operation for failed vascular grafts - for repair or replacement of existing pros- 

th^is (more than one month after original operation), add to appropriate fee 

(g) removal of failed vascular graft without arterial reconstniction(I.O.P.) 

- when sole procedure : 



(h) re-operation involving open heart procedures with pump (more than one month 
after original operation), add to appropriate fee 

- following previous thoracotomy 

- following previous sternotomy 



(i) preliminary diagnostic catheterization - extra to operative fees (see Diagnostic and 
Therapeutic Procedures). 

(j) The basic anaesthetic fee of 28 units for major cardiovascular surgery includes such 
procedures as insertion of C. V.P. line (G268), arterial line, blood sampling, blood 
analysis and interpretations. 

HEART AND PERICARDIUM 

Cardiac massage 

- closed (see Critical Care - Diagnostic and Therapeutic Procedures) 

-open 13 

Insertion of permanent endocardial electrode and implantation of pack, includes 
insertion of temporary transvenous lead at same surgical procedure by same 
surgeon 3 

Repositioning of permanent endocardial electrode (as separate procedure) 

Insertion of permanent endocardial electrode(s) 



275.00 
196.40 


5 
5 


110.00 


5 


34.90 




114.40 
73.80 


5 



155.80 



169.40 6 



200.80 
30120 



209.70 13 



293J0 5 
293J0 5 
139.70 



269 



1124 • THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE CARDIOVASCULAR SYSTEM - Cont'd. 

Code HEART AND PERICARDIUM -Cont'd. Aitst Snry AnaP^ 

Z436 Exposure of vein and implantation of pack 

Z433 Replacement of pack 

R7S2 Atrio-ventricular sequential pacemaker with permanent atrial and ventricular 

endocardial electrodes 4 

R751 Implantation of epicardial electrode(s) plus implantation of pack 6 

Z41 1 Replacement of pack (I.O.P.) 3 

Z412 Replacement or repair of pacemaker lead (I.O.P.) 3 

M137 Thoracotomy - with or without biopsy 9 

M134 - for post-operative hemorrhage 9 

Z401 Aspiration of pericardium (I.O.P.) 

Z414 Injection of pericardial sclerosing agents 

R750 Open biopsy of pericardium and drainage (transthoracic or epigastric) 13 

R748 Pericardiectomy - one side open 13 

R749 - both sides open or sternal split 13 

R712 Cardiotomy with exploration 18 

R713 - with removal of foreign body 18 

R714 - with removal of tumour 18 

E660 Epicardial E.P.S. mapping 

E661 Endocardial E.P.S. mapping 

E658 HIS Bundle ablation 

Division of accessory conduction pathway (to include cardiotomy mapping with or 
R711 without HIS bundle) 

Resection/ablation for ventricular tachycardia (to include cardiotomy, mapping, 

R710 with or without HIS bundle) 

R920 Excision - ventricular tumour 18 

R746 - ventricular aneurysm 18 

R747 - aneurysm of sinus of Valsalva 18 

R741 Coronary - endarterectomy 18 

E651 - when done in conjunction with coronary artery repair, add 

Note: R741, E651 - For multiple or complex procedures, assessment by the OHIP 

Medical Consultant is available and may be requested 

E648 Excision of extensive endocardial scar, add to ventriculotomy or aneurysm repair 

R742 Coronary artery repair - one 18 

R743 -two 18 

E654 - each additional 

Use of interna] mammary 

E652 - for construction of bypass graft, add 

R754 Ligation or division patent ductus - infant or child 13 

R755 - adolescent or adult 13 

Interruption of bronchial collateral arteries (one or more arteries) 

R857 - sole procedure 13 

E663 - when done in conjunction with other cardiac surgery 

R757 Resection coarctation - infant 13 

R756 - child 13 

R758 - adolescent or adult 13 

R759 Congenital heart procedures - e.g. Blalock, Glenn, Potts, Waterston or Central 13 

R763 Creation of ASD - by balloon septostomy 9 

R762 - by thoracotomy or Sterling Edwards 18 



151.10 


5 


132.80 


5 


412.30 


5 


421.60 


20 


137.50 


5 


100.40 


5 


353.00 


13 


353.00 


U 


119.10 




21.00 




288.10 


13 


576.20 


20 


907.80 


20 


476.70 


20 


576.20 


20 


476.70 


20 


168.05 




168.05 




252.10 




672.20 


20 


1008.60 


20 


609.30 


28 


783.90 


28 


710.65 


28 


663.50 


20 


183.30 




119.10 




811.70 


20 


1090.40 


20 


170.20 




165.90 




476.70 


20 


663.50 


20 


663.50 


20 


165.90 




595.40 


20 


572.70 


20 


733.30 


20 


572.70 


20 


288.10 


9 


572.70 


20 



270 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1125 



OPERATIONS ON THE CARDIOVASCULAR SYSTEM • Comt'4. 
Code HEART AND PERICARDIUM • Coat'd. 



Aaat Sus Àaaa 



R715 Closure atrial septal defect: secundum 

R716 - endocardial cushion and valve defect ». 

R717 - with anamalous pulmonary venous drainage . 

R718 Closure of ventricular septal defect 



.... 18 
„.18 
„. 18 
... 18 



Note: R718 should be claimed only once regardless ofthcaiuibcr of defects repaired 
by one patch 

R870 Orthotopic cardiac transplantation 

R872 Donor cardiectomy . 

R874 Cardiopulmonary transplantation. 

M1S7 Donor Heart - Luitg removal.. 



R720 
R722 
R723 
R721 
R921 
R922 
R923 
R924 
R925 
R926 
R927 
R928 
R929 
R768 
R769 
R770 
R771 



R724 
R725 
R772 
R726 
R727 
R728 
R729 
R730 
R734 
R735 
R733 
R930 
R736 
R737 



Repair 

Total repair Tetralogy of Fallot 

- with or without previous arterial shunt. 
Total anomalous pulmonary venous drainage . 

Total correction transposition of great vessels 

Arterial repair of transposition 

Complete A- V canal 

Single ventricle 

Double outlet - right/left ventricle . 
Double outlet ventricle with transposition. 
Truncus arteriosus . 

Interrupted aortic arch 

Aorto-pulmonary window . 
R-V outflow tract with valve and tubular graft. 
Debanding arterioplasty of pulmonary artery . 
Pulmonary artery banding. 



- with pressure studies by anaesthetist, extra/hour. 
Correction of cor triatriatum . 
Vascular ring._ 



VALVES 

Pulmonary valvotomy.. 
Pulmonary valvotomy and infundibular resection- 
Pulmonary valve replacement. 
Tricuspid valvotomy.. 
Tricuspid annuloplasty . 
Tricuspid valve replacement. 
Mitral valvotomy.. 
Mitral valvotomy - restenosis. 

Mitral annuloplasty 

Mitral replacement „ 

Mitral valvoplasty 



Aortic valvoloplasty . 

Aortic valvotomy 

Aortic infundibular resection (ventriculomyotomy). 



18 
18 
18 
18 
18 
18 
18 
18 
18 
18 
18 
18 
18 
13 

18 
18 



18 

18 
18 
18 
18 
18 
18 
18 
18 
18 
18 
18 
18 
18 



572.70 20 

852.20 20 

719.40 28 

719.40 28 



18 1308.80 28 

7 436J0 8 
18 1746.40 28 

8 63020 t 



957.00 28 

852.20 28 

852.20 
1278.70 
1122.20 
1278.70 
1122.20 
1278.70 
1278.70 
1122J0 

719.40 

806.90 

715.00 

476.70 



654.80 
572.70 



600.65 28 

688.00 28 

688.00 28 

705.40 20 

600.65 

688.00 

650.40 

724.60 

698.40 

846.60 

872.80 

759.60 

641.70 

788J0 



20 
28 
20 
20 
20 
28 
28 
28 
20 
28 



271 



1126 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



85.60 


4 


189.60 


6 


132.75 


5 


366.80 


10 


242.70 


10 



OPERATIONS ON THE CARDIOVASCULAR SYSTEM • Cont'd. 

Code VALVES -Cont'd. A.sst Snry Ana^s 

R738 Aortic valve replacement 18 915.70 28 

E647 Patch aortopiasty with pericardium or graft, add to R738 and/or aortic annuloplasty .. 240.00 

Aortic annuloplasty (reconstruction and enlargement of aortic annulus add to R738 
E656 and/or patch aortopiasty) 261.90 

Replacement of aortic valve, replacement of ascending aorta, and reimplantation of 
R863 coronary arteries (Modified Bentall Procedure) 18 1832.20 28 

Multivalvular replacement - the fee will be that for the major valve replaced plus 
85% of the fee for the additional valve or valves. 

ARTERIES 

Cannulation for infusion chemotherapy 

R775 - superficial temporal artery 3 

R776 - hepatic artery 6 

R778 -carotid 5 

R760 Regional isolation perfusion e.g. iliac 10 

R764 Exploration of major artery 6 

Incision 

Z402 Arteriotomy (I.O.P.) 

Note: ZAffl not allowed in addition to other major cardiovascular surgery when 

performed at same time. 

Repair - traumatic 
R790 Suture of lacerated major artery 4 

Repair of lacerated major artery or microscopic repair of digital artery (including 

R795 patch angioplasty) 10 

R862 - by bypass or interposition graft 10 

Ligation 

R781 Ligation of artery (as sole procedure) 3 

R788 - internal maxillary artery - Caldwell Luc approach 7 

R789 - anterior ethmoid artery 6 

R708 - internal iliac artery (unilateral or bilateral) 7 

Excision and/or Repair 
Preamble: 

(1) Repair of arteries implies either endarterectomy and/or bypass graft. 

(2) Fee for gas endarterectomy of coronary artery should be the same fee as for 
coronary endarterectomy. 

(3) The fees listed for by-pass grafts mclude endarterectomy and/or thrombectomy 

of the artery being repaired. 

(4) Common femoral artery repair (e.g. R784, R785) includes repair to the profunda 

femoris artery as fsir as the first major branch. 

(5) If the repair extends beyond the first major branch of the profunda femoris artery, 

R815 may be claimed m addition. 

(6) If the repair extends beyond the second major branch of the profunda femoris 
artery, R856 instead of R815 may be claimed in addition. 



104.80 



283.20 10 

445.50 10 
591.60 10 



152.00 8 

367.70 10 

270.80 6 

365.90 10 



272 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1127 



OPERATIONS ON THE CARDIOVASCULAR SYSTEM - Coot'd. 

Code ARTERIES • Cont'd. 

(7) For procedures involvins the application of a complete aortic cross clamp, the 
anaesthetic basic fee wiU depend on: 

a) the level of application of the cross clamp 

b) the surgical e^qxKure and extent of the aortic repair 



&SSÎ — SucB àaasi 



R880 
R881 
R882 
R883 

R815 
R792 
R796 
R798 

RS30 
ROI 
R832 
E6S9 

E667 

R799 
R800 
R801 
E667 

R803 
R802 
R816 
R817 
E626 
E627 

R811 
R935 
Note: 

R936 

R783 
R784 
R78S 
E626 
R814 

R858 
E664 



Surgical Exposure 
Abdominal 

Thoracic 



Aortic Cross Clamp 

- Supracoeliac 

- Infracoeliac 



Thoraco-abdominal r. 

Arterioplasty with or without patch graft including microvascular anastomosis, 

arterial or venous, (other than Usted below) 10 

Carotid - endarterectomy 10 

- carotid body tumour „ 10 

- aneurysm - reconstruction or excision with graft 10 

Aortic arch reconstruction 

Innominate 10 

Subclavian 10 

Vertebral 10 

- with thoracotomy, add 3 

-ruptured, add 

Thoracic aorta aneurysm - repair or excision with graft 

- ascending „ 10 

-arch 10 

- descending with or without temporary shunt 10 

- ruptured, add 

Thoraco - abdominal aneurysm 18 

Abdominal aorta - aneurysm 10 

- plus unilateral common femoral repair 10 

- plus bilateral common femoral repair 10 

- plus implantation of inferior mesenteric artery, add 

- ruptured, add 

Mesenteric or celiac artery repair 

- aneurysm 10 

- removal of band only 10 

Use R935 for excision of coeliac ganglion. 

- endarterectomy or graft 10 

Aorto-Iliac repair 

- including common iliac repair (uni or bilateral) 10 

- plus unilateral common femoral repair 10 

- plus bilateral common femoral repair . .^.„ 10 

- plus implantation of inferior mesenteric artery, add 

- embolectomy or thrombectomy of bifurcation (aorta or graft) 10 

Total removal of infected aortic graft (stem and limbs) (arterial reconstruction 

extra) 10 

Closure of duodenum, add 





20 




17 




25 




30 


471.75 


10 


683.00 


10 


688 JO 


10 


733.80 


10 


775.10 


10 


775.10 


10 


775.10 


10 


151.10 


7 


238.30 


3 


1300.90 


20 


1614.60 


20 


1126.20 


20 


238 JO 


3 


2184.05 


30 


1069.80 


17 


1165.10 


17 


1258.00 


17 


155.80 




283.90 


3 


367.00 


10 


367.00 


10 



775.10 10 



903.80 


17 


1061.05 


17 


1174.60 


17 


155.80 




412J0 


10 


821.20 


17 


113.60 





273 



1128 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE CARDIOVASCULAR SYSTEM - Cont'd. 

Code ARTERIES - Cont'd. Asst Surg Anaes 

Partial removal of infected aortic graft (one limb only) (arterial reconstruction 

R859 extra) 10 307.35 10 

R805 Renal artery - aneurysm - reconstruction or excision with graft 10 775.10 10 

R806 Renal artery repair 10 775.10 10 

R807 Splenic artery aneurysm - reconstruction or excision with graft 10 367.00 10 

R786 Iliac repair to include internal iliac aneurysm 10 719.80 10 

R937 Ilio-femoral bypass graft 10 719.80 10 

R860 Per-obturator ilio-femoral graft - with saphenous vein 10 803.70 10 

R861 - with prosthetic graft 10 784.40 10 

Common femoral/profunda femoris repair (profundoplasty) - when sole 

R855 procedure performed 10 499.70 10 

R856 Extended profundoplasty 10 697.10 10 

R933 Axillo-femoral, femoro-femoral or axillo-axillary graft 10 586.90 10 

R934 Aorto-femoral unilateral graft (for bilateral see R785) 10 775.10 17 

R808 Femoral aneurysm - reconstruction or excision with graft 10 536.30 10 

R864 Repair of false aneurysm at groin anastomosis 10 798.20 10 

R809 Femoral-popliteal endarterectomy 10 678.70 10 

Femoro-popliteal (with or without endarterectomy) 

R791 - with saphenous vein 10 766.10 10 

E672 • composite femoral popliteal/Ubial bypass (vein PFPE, dacron) add 119.10 

R794 -with prosthetic graft ., 10 655.10 10 

Femoro-ant./post. tibial/peroneal bypass graft (with or without endarterectomy) 

R787 - with saphenous vein 10 899.00 10 

E672 • composite femoral popliteal/tibial bypass (vein PFPE, dacron) add 119.10 

R780 - with prosthetic graft 10 784.40 10 

R810 Popliteal aneurysm 7 719.80 10 

R812 Peripheral arteries other than listed - aneurysm 7 366.80 10 

R813 Embolectomy - artery or graft (as sole procedure) 7 288.20 10 

R867 Thrombectomy - artery or graft (as sole procedure) 7 270.80 10 

Embolectomy and/or thrombectomy when done in conjunction with other vascular 

E649 procedures add 100.50 

R866 Gastric devasculari2ation - when sole procedure 10 491.20 10 

R797 In-situ saphenous vein arterial bypass - popliteal 10 1148.40 17 

R804 -tibial 10 1331.90 17 

VEINS 

Excision 

Resection of AV aneurysm or fistula with or without major graft 

R825 - major aneurysm 10 871.20 17 

R826 - minor aneurysm 10 444.35 10 

Ligation 

Z745 Saphenous (LO.P.) 47.60 4 

Z746 Femoral (I.O.P.) 3 66.40 4 

Z747 Popliteal (I.O.P.) 3 66.40 4 

Z748 Internal jugular (I.O.P.) 5 132.80 5 

R839 Internal iliac 6 352.90 10 



274 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1129 



OPERATIONS ON THE CARDIOVASCULAR SYSTEM • Coat'd. 
Cede VEINS - CootU 



AaSi SUIX Anaes 



R834 I.V.C. - transabdominal 6 399.20 10 

R838 - transvenous (umbrella) 6 270.80 10 

R868 High ligation and stripping of long saphenous vein with groin dissection 4 132.80 4 

R869 Stripping of short saphenous vein with popliteal dissection 4 %.00 4 

R837 Multiple ligation and avulsion 4 132.80 4 

R844 Recurrent varicose veins - multiple ligation and/or stripping 5 316.00 5 

R842 Extra fascial and sub-fasdal incompetent perforators by full fascial technique S 343.90 6 

E653 - plus stripping, .'. add 114.40 

Repair 

Lacerated major vein e.g. femoral, popliteal, vena cava, axillary, sub-davian, 

R820 brachial or microscopic repair of digital vein 4 283.70 4 

R818 - including patch 10 44435 10 

R819 - by vein graft 10 591.00 10 

R835 S.V.C. bypass graft 7 678.20 17 

R836 Pulmonary embolectomy 18 774 JO 20 

R828 Ilio-femoral thrombectomy with or without femoral vein ligation 10 399.00 10 

E657 - plus I.V.C. ligation, add 399.00 

R829 Thrombectomy, other than above - see Preamble, paragraph B32 I.C. I.C. I.C. 

R865 Distal spleno-renal shunt 10 1126.20 10 

Anastomosis 

R822 Porto-caval 10 

R823 Spleno-renal-abdominal approach 10 

R821 -transthoracic approach 10 

R824 Meso-caval 10 

R827 Creation of A.V. fistula 4 

R841 Obliteration of A.V. fistula 

R833 Ligation or removal of by-pass graft 



821.20 


10 


999.90 


10 


999.90 


13 


774.80 


10 


325.40 


6 


74.50 


4 


7430 


4 



275 



73.10 


4 


30.60 




57.20 


4 


457.10 


8 


56.40 


4 



1130 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE HAEMIC AND LYMPHATIC SYSTEMS 
Code SPLEEN AND MARROW 

Incision (I.O.P.) 

Z404 Splenic puncture and aspiration 

Z403 Bone marrow aspiration 

Z408 Bone marrow core biopsy (with biopsy needle) 

Bone Marrow transplantation - team fee (I.O.P.) 

2^25 - Aspiration from donor 

Z426 - Inftision into recipient 

Note: 1) Bone marrow transplantation is not a benefit of OHIF for treatment of some 
conditions. Please refer to OHIP District Medical Consultant for qualifying 
diagnoses. 

2) Bone marrow interprétation - see Laboratory Medicine. 

Excision 

R905 Splenectomy - partial or complete 7 445.50 7 

LYMPH CHANNELS 

Excision 

R907 Cystic hygroma - unilateral 4 368.80 6 

Anastomosis 

R846 Micro lympho-lympho or lymphovenous 7 623.70 7 

LYMPH NODES 

Incision (I.O.P.) 

Z410 Drainage of sub-fascial abscess 67.30 4 

Z413 Scalene node fine needle aspiration 25.80 

Excision 

R910 Neck - limited e.g. sub mandibular supra omohyoid 6 244.60 6 

R911 - radical 6 585.50 8 

- modified radical including functional with preservation of spinal accessory 

R915 nerve 6 629.20 8 

R912 Ileoinguinal, radical resection 6 441.30 8 

R913 Axillîuy or inguinal nodes - radical resection 4 332.00 6 

R914 - limited resection 4 183.50 4 

Z405 Biopsy (I.O.P.) - anterior cervical, axillary, inguinal 4 56.80 4 

Z406 - scalene, posterior cervical 4 113.60 4 

Z578 - multiple para-aortic lymph nodes 6 67.70 6 

Z407 - percutaneous retro peritoneal - one group 4 78.60 4 

Z409 - two or more groups 4 118.00 4 

R916 Re-exploration of vascular graft and closure of lymph fistula in groin 4 183.50 6 



276 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1131 



Code 



Z506 
Z510 
Z524 
Z501 
Z537 

Zlll 
Z112 
S031 



Z502 
S003 
S006 
S004 

S005 

S007 

S050 
S018 
S019 
Z109 
S020 
S023 
E700 
S028 



S900 
S021 

Z509 
S034 
S035 
S032 
S030 
S033 
S036 
S069 
S002 
S067 



OPERATIONS ON THE DIGESTIVE SYSTEM 

ORAL CAVnY AND PHARYNX 

- to include nasopharynx, oropharynx, hypopharynx except v^re otherwise 
specified. 

IndsioB 

Drainage of oral abscess or hematoma (LOP.) . 



Drainage of pharyngeal abscess or hematoma (LO.P.) 

Drainage of hematoma or deep neck abscess (external approach) (I.OJP.) . 
Biopsy (I.O.P.) „„ 

- involving general anaesthetic > 
Tongue tie, release of (I.O J*.) 

-simple 

- complex or requiring general anaesthetic. 
Palatal fenestration 

Exdsioa 

Excision of lesion (I.O.P.) - less than 2 cms. 

-2 to 4 cms. 

- over 4 cms.. 
Excision of ranula 



Asst Sus AOMSS. 



46J0 4 

83.00 S 

3 139.80 4 
32J0 

69.90 4 

14.00 

46J0 4 

180.00 4 



3 
4 
4 
3 
Composite resection of lesion of oral cavity and/or oropharynx with partial resection 

of mandible 10 

Extended composite resection of lesion of oral cavity and oropharynx with partial 

resection of mandible and resection of maxilla 10 

Cryotherapy for treatment of pre-malignant or malignant lesions of oral cavity or 

sinuses 

Glossectomy - partial „ 6 

- complete „ 6 

Wedge excision of lesion (I.O J*.) 

Glossoplasty 4 

Extraction of tooth (complete care) - single 

- each additional tooth 

Dentigerous cyst 4 

Basic units for anaesthesia with any unlisted dental surgjcal procedure performed by 
a dental or oral surgeon (see Preamble, paragraph 37(1), also OHIP 

Bulletin #4203) „ 

Repair of extensive laceration _ 4 

- for minor lacerations, see Skin 

Uvulectomy - partial or complete 

Cleft palate repair _ 6 

Removal of sutures under general anaesthesia 

Bone graft to palate „. 6 

Closure of fistub - anterior alveolar 4 

- palate 6 

Uvulopalatopharyngoplasty (Includes tonsillectomy) 

Pharyngoplasty 8 

Excision of parapharyngeal space lesions (with mobilization of parotid ^and) 4 

Partial pharyngectomy - trans-hyoid or lateral 8 



64.60 
193.90 
311.90 
151.10 



135.40 

180.00 

256.80 

55.90 

180.00 

22.70 

12.20 

90.00 



I.C. 



629.00 12 



742.60 12 



22.70 


4 


336 JO 


8 


37.60 


4 


305.80 


8 


ISOXW 


4 


256.80 


6 


218.40 


6 


328.50 


8 


558.20 


8 


720.70 


11 



277 



1132 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE DIGESTIVE SYSTEM - Cont'd. 

Code ORAL CAVITY AND PHARYNX - Cont'd. Asst Surg Anaes 

S068 Pharyngo-laryngcctomy 8 809.80 14 

E882 - with hemithyroidectomy, add 161.60 

E883 - with subtotal thyroidectomy, add 242.90 

E884 - with total thyroidectomy add 340.70 

5058 Branchial - cleft lesion 4 279.55 4 

5059 Branchial - cleft lesion - repeat procedure 4 396.60 4 

5061 Thyroglossal duct remnant 4 279.55 4 

5062 - repeat procedure 4 373.90 4 

5063 Tonsillectomy 135.00 4 

Tonsillectomy and Adenoidectomy - same as Tonsillectomy 

5065 Adenoidectomy 76.40 4 

Secondary suture or cauterization 24 hours following T & A or by a surgeon other 

than the operation surgeon anytime post-operatively - when haemorrhage occurs 

5066 after initial procedure and is treated surgically 54.20 5 

S024 Excision of torus palatinus 4 179.80 4 

SALIVARY GLANDS AND DUCTS 

Incision 

Z500 Sialolithotomy (I.O.P.) 27.95 

Z521 - involving general anaesthesia 3 94.35 4 

Excision 

5042 Submandibular gland or sublingual gland 4 262.10 4 

5043 Parotid gland - total (with preservation of facial nerve) 6 629.20 8 

5044 - total (without preservation of facial nerve) 6 540.05 8 

5045 - subtotal (with preservation of facial nerve) 6 584.90 7 

S047 - repjeat subtotal (with preservation of facial nerve) 6 629.20 7 

5046 - subtotal (without preservation of facial nerve) 6 360.00 6 

Z522 Excision small tumour (I.O.P.) 3 46.30 4 

Reconstruction 

S049 Plastic repair of duct 4 184.20 4 

Z511 Dilation and/or probing of duct (I.O.P.) 27.95 4 

S057 Submandibular duct relocation 6 328.60 6 

LIPS 

Incision 

Z503 Biopsy (I.O.P.) 32.30 4 

Excision 

SOU Wedge resection of lip - vermilion 3 89.70 4 

SOlO Wedge resection of lip with plastic repair 3 217.80 4 

Z504 Excision of lesion (I.O.P.) 3 55.75 4 

S012 Lip shave - vermilionectomy 3 183.85 4 



278 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1133 



Code 

S013 

S014 

X S015 



S073 
S074 
S075 



Z515 

Z567 

Z399 
Z400 

Z568 
E696 
E7Q2 
E0I 
E691 
E770 
E7D1 
E092 

£709 
E799 

Note 



S084 
S085 
S082 
S083 
S081 

S080 



OPERATIONS ON THE DIGESTIVE SYSTEM - Coat'd. 

UPS - CoatU 

Recoutroctioa 

Oeft Kp - unilateral 

Reconstniction with lip switdi flap.. 



Aaat Sua ^oaa. 



Complex reconstnicticMi or revisicm of previous repair and excision 

OESOPHAGUS 

For procedures on the Oesophagus, the following basic units for assistants and 
anaesthetists will apply except ifa basic fee is listed: 

Cervical approach 

Thoracic approach... 

Abdominal approach 



EadoMopfes (LOP.) 

Oesophagoscopy, with or without biopsy(s) 

Subsequent procedure by same physician (within three months f(^owing previous 

endoscopic procedure) 

Oesophagoscopy-gastroscopy with or without duodenoscopy 

- for active Ueeding. 



6 

10 

7 



Subsequent procedure by same physician (within three months following previous 
endoscopic procedure) 

- with dilatation of oesophagus, add 

- with multiple (3 or more) biopsies of specific lesion, add 

- with removal of foreign body(s) add 

- with injection of oesophageal varices, add 

- with duodenoscopy and drainage of bile after I.V. CCK stimulation, add 

- with diathermy or laser, .._.« ~~— add 

- with laser debulldng, _™~_ add 

- with pneumatic or balloon dilation, add 

- with snare polypectomy, add 

- each additional polyp, - (to a maximum of 2 additional polyps) — add 

For assistant's and anaesthetist's units sec S073-S075 above. 

iMiskw 

Oesophagostomy 

Cervical - other than neonatal 

- neonatal - 

Intrathoracic oesophagus tube - via laparotomy _ 

- via ocsophagoscope (includes Z515) 

Transoesophageal division of oesophageal varices 

Oesophageal-gastric devascularization (including splenectomy and oesophageal 

division/anastomosis) 



Exdsioa 

5087 Intrathoracic diverticultmi 

5088 Crico pharyngeal diverticulum 

E699 - with myotomy, add 



331.10 8 
405.00 8 
I.C I.C. 



61.90 

47.65 

93.70 
113.60 

75.40 
27.80 
13.70 
39.70 
42.10 
21.00 
29.80 
63.10 
63.10 
45.90 
22.80 



7 

13 

8 



192.20 
275J0 
371.40 
275J0 
505.10 

812.70 



458.80 

353.00 

33.60 



279 



1134 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE DIGESTIVE SYSTEM • Cont'd. 
Code OESOPHAGUS - Cont'd. Asst Sury Anaes 

Partial oesophageal resection and reconstruction (including intestinal 

5089 transposition) 978.70 17 

5090 Total thoracic oesophageal resection 812.70 13 

E730 - with reconstruction, add 489.40 4 

S093 Enucleation of benign oesophageal tumour ; 528.70 

Repair 

S161 Oesophageal myotomy, partial (below aortic arch) 528.70 

E758 - with oesophageal hiatus hernia repair add 1%.60 

E699 - with diverticulum excision, add 33.60 

SlOO Total thoracic oesophageal myotomy when sole procediu-e performed 668.50 

E758 - with oesophageal hiatus hernia repair, add 1%.60 

Oesophageal hiatus hernia - abdominal or transthoracic approach with fundal 

5091 plication 498.10 

8092 Recurrent oesophageal hiatus hernia 642.30 

E744 - with gastroplasty, to either S091 or S092 add 104.90 

When S091 or SÔ92 with or without gastroplasty is done in conjunction with 

cholecystectomy, and/or vagotomy with or without drainage procedures, add 
E742 (to S091 or S092 with or without E744) for each additional procedure 
performed. For any other combination of surgical procedures with oesophageal 
hiatus hernia repair (with the exception of S161 and SlOO), see Surgical 

E742 Preamble (paragraph 3) 196.60 

Oesophageal stricture (Thai) - may include oesophageal hiatus hernia repair with or 

S095 without gastroplasty 611.70 

S0% Ruptured oesophagus, suture and drainage 458.80 

5097 Oesophago-gastrostomy for by-pass (when sole procedure performed) 550.50 

5098 Oesophageal bypass, abdomen to neck - with stomach 825.80 

5099 - with colon or jejunum 1144.40 

Suture 

Closure of oesophago-tracheal fistula (includes oesophageal reconstruction and 
S102 lengthening if necessary) 594.20 

Dilation of Oesophagus (I.O.P.) 

Z529 Passive (bougie) - initial session 36.70 

Z530 - repeat session (within three months following previous dilation) 24.85 

Z525 Pneumatic - when sole procedure performed 100.50 

Z523 With rigid dilators guided over a string or wire 48.00 

Z531 Repeat dilations during the same admission 24.00 

STOMACH 

Endoscopies (I.O.P.) 

21527 Gastroscopy (with or without biopsy or photography) 83.00 4 

21547 Gastroscopy with removal of foreign body 90.00 4 

Z528 Subsequent (within three months following previous gastroscopy) 61.15 4 

Incision 

8116 Gastrotomy - with removal of tumour or foreign body 6 366.90 7 

E731 - with suture of bleeding peptic ulcer add 74.25 2 



280 



O. Reg. 94/89 THE ONTARIO GAZETTE 1135 

SURGICAL PROCEDURES 

OPERATIONS ON THE DIGESTIVE SYSTEM • CoM'd. 
Code STOMACH - CoatU Asst SUS Aoa£& 

5117 PyloTomyoComy (Ramstcdt's) 5 283.90 10 

5118 Gastrostomy 6 311.90 7 

E697 - with repair of Mallory Wcis bceradk», add 128.40 

E707 - when done with another intra-abdominal procedure 63.80 

Excision 

Z526 Biopsy - (Incisional) by gastrotomy (I.O J».) ^ 66.40 

Z533 - by intubation (I.O.P.) 33.20 

Gastrectomy 

5122 Wedge resection for ulcer 7 366.90 7 

E708 - with vagotomy add 110.10 

E713 - after previous partial gastrectomy, add 124.05 

5123 Partial or subtotal - distal 7 573.10 8 

S125 -proximal 7 623.80 8 

E731 - with suture of bleeding peptic ulcer add 74.25 2 

£708 - with vagotomy, add 110.10 

£709 - with cholecystectomy, add 110.10 

£711 - after previous gastro-enterostomy, add 96.10 

£706 - with choledochotomy, „ add 110.10 

£712 - after previous vagotomy and pyloroplasty, _ add %.10 

£713 - after previous partial gastrectomy, add 124.05 

5128 Total gastrectomy, with or without splenectomy 7 857.90 9 

£709 - with cholecystectomy, add 110.10 

£706 - with choledochotomy, add 110.10 

£713 - after previous partial gastrectomy, add 124.05 

5129 Conversion of previous gastrectomy to Roux-en-y 7 633.40 9 

5131 Vagotomy - truncal or selective 7 339.00 7 

• highly selective (as sole procedure without pyloroplasty or 

5124 gastroenterostomy) 7 458.65 7 

S121 Transabdominal vagotomy after previous vagotomy 7 375.65 8 

S120 Gastric bypass or partition, for morbid obesity 7 559.10 10 

Repair 

5132 Pyloroplasty ...» 7 366.90 7 

5133 I^oroplasty and vagotomy 7 477.00 7 

£731 - with suture of bleeding peptic ulcer, add 74.25 2 

5137 Pyloroplasty or gastroenterostomy plus vagotomy and cholecystectomy 7 618.70 8 

£731 -with suture of bleeding peptic ulcer 74.25 2 

£721 - with choledochotomy, _ add 110.10 

5134 Gastroduodenostomy or gastrojejtmostomy 7 366.90 7 

£716 - either of above plus vagotomy, add 136.25 

£711 - after previous gastroenterostomy add 96.10 

£721 - with choledochotomy, add 110.10 1 

Suture 

5138 Closure of gastrostomy or other external fistula of stomach 5 311.90 6 

5139 Gastrorrhaphy (for perforated ulcer or wound) 6 324.10 7 

5140 Closure of gastrocolic fistula 7 518.05 7 



281 



1136 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE DIGESTIVE SYSTEM • Cont'd. 
Code STOMACH - Cont'd. Asst Sury Anaea 

Introduction 

Z534 Gastric Cooling (I.O.P.) - ice water bvage of stomach 26.20 

Gastric Cooling (I.O.P.) - oesophagogastric balloon, with alcohol coolant 
Z532 continuously recirculated 87.40 4 

INTESTINES (EXCEPT RECTUM) 

Endoscopy (I.O.P.) 

Duodenoscopy (not to be claimed if Z399 and/or Z400 performed on same patient 
Z560 within 3 months) 83.00 4 

Subsequent procedure (within three months following previous endoscopic 

Z749 procedure) 

Z561 - with cannulation of pancreatic and/or common bile duct 

E702 - with multiple (3 or more) biopsies of a specific lesion, add 

E666 - with biliary tract manometry, add 

- with re-cannulation of pancreatic and/or common bile duct (within three 

Z579 months of previous cannulation) 

Z512 Endoscopy of ileostomy or colostomy, or reduction of obstructed Koch ileostomy 

E747 -to caecum, add 

Z514 -with biopsy 

Z580 Endoscopy (using 60 cm. flexible endoscope) 

E665 - when ZS80 or Z512 is rendered in private office, add 

Z555 Endoscopy - of sigmoid to descending colon 

E740 - to splenic flexure, add 

E741 - to hepatic flexure, add 

E747 -to caecum, add 

E705 - Into terminal ileum, add 

- if biopsy and/or coagulation of angiodysplastic lesion(s) 

E717 (one or more), to Z555 or Z580 add 

E749 - when Z555 rendered in private office, add 

Note: For sigmoidoscopy with rigid scope, see Z53S etc. (Rectum) 

Z513 Hydrostatic - Pneumatic dilatation of colon stricture(s) through colonscope 

Z570 Fulguration of polyp through colonoscope 

E719 - each additional polyp, - (maximum of 4 additional polyps) add 

21571 Excision of polyp through colonoscope 

E720 - each additional p)olyp, - (maximum of 2 additional polyps) add 

E692 - with laser debulking, add 

Incision 

Enterotomy 

5149 Ileostomy 6 

5150 Small intestine - including excision of polyps or biopsy 6 

5151 Insertion of feeding enterostomy 6 

E737 - when done with another intra-abdominal procedure, add 

S154 Large intestine - including excision of polyps 6 

8155 Colonoscopy with laparotomy 6 



65.50 


4 


192.20 


4 


13.70 




47.20 




161.60 


4 


33.20 


4 


31.45 




40.20 


4 


52.10 


4 


15.70 




52.10 


4 


52.10 




31.45 




31.45 




30.25 




24.50 




15.70 


i 


%.90 


■M 


42.80 


4 


21.80 




135.40 


4 


69.90 




63.10 




366.90 


7 


366.90 


7 


321.50 


7 


74.25 




366.90 


7 


349.40 


7 



282 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1137 



OPERATIONS ON THE DIGESTIVE SYSTEM - Coat'd. 
Code INTESTINES (EXCEPT RECTUM) - Coat'd. 



8156 
S157 
S158 

S160 



8162 
Z750 

8164 
8165 

8166 
8167 
E714 
8168 
S169 

8171 

8172 
8170 
8173 
8174 
E738 

E718 



8188 
8189 



8175 
8176 
8177 
8180 
8178 
8179 



8181 
8182 
8192 
8191 
8193 
8183 



ASSl Snrp Ana«H5 



Exteriorization of intestine (Mickulicz) . 

Colostomy — ..^ -.._. 

Caecostomy 



Entcro-enterostomy . 



Exdsioa 

Local excision of lesion of intestine . 



Resection of exteriorized intestine (I.O.P.) . 
Resection with anastomosis 

Small intestine - duodenum .._„___»„ 

- other 



Small and large intestine 

terminal ileum, caecum and ascending colon. 



Large intestine - any portion 7 

Repair of entero-cutaneous fistula in conjunction with bowel resection, add 

Ileostomy, subtotal colectomy 7 

Total colectomy with ileo-rectal anastomosis 9 

Left hemicolectomy with anterior resection or proctosigmoidectomy (anasto- 
mosis below peritoneal reflection & mobilization of splenic flexure) 7 

Total colectomy with mucosal proctectomy with ileal pouch, ileoanal 

anastomosis and loop ileostomy 9 

Ileostomy plus total colectomy plus abdomino-perineai resectioo 9 

Two-surgeon team - abdominal . , ,, 9 

- perineal „ 

- with continent ileostomy, to either S168, 8169, S170, S173 or 8174 add 

Bowel resection following previous resection with anastomosis, or following 

8217, 8213, 8214 or 8215, add 



Note: E718 is not to be added to 8218, 8181, 8182, 8185, 8191, 8192 or 8193. 



Bowel resection without anastomosis (colostomy and mucous fistula). 
Intestinal bypass for morbid obesity „ 



latestiBal Obstractioa (Beckaakal) • one stage (if staged procedure, refer to 
Surgical PreamMe, paragraph 3). 

- without resection 

- with enrftrfv-f.nrf.rr>stf>my , 

- with resection „__..—__.«_«. 



- with enterotomy.. 



Intestinal atresia (newborn).. 
Meconium ileus 



Repair 

Revision of ikostoiry or colostomy - skin level . 

- full thickness . 
Simple revision of continent ileostomy px)uch . 



Complete reconstruction of continent ileostomy to include valve repair.. 

Revision of standard ileostomy into continent ileostomy pouch 

Caecope^ or sigmoidopeigr wHben sole procedure performed . 



366.90 6 

366.90 6 

349.40 6 

366.90 7 



366.90 
74.25 



554.70 
554.70 
74.25 
733.80 
86230 



1559.40 
1035J0 
871.90 
256J80 
349.40 

128.40 



491.00 
541.60 



406.00 
518.05 
595.80 
467.40 
615.90 
615.90 



119J0 
31625 
349.40 
857.90 
716.40 
283.90 



513.70 7 
477.00 7 



751J0 8 



10 
10 
10 



6 
10 



283 



1138 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE DIGESTIVE SYSTEM - Cont'd. 
Code INTESTINES (EXCEPT RECTUM) - CootU Asst Snrp AnaP« 

Suture 

5184 Suture of intestine 6 283.90 6 

E721 - with choledochotomy, add 110.10 1 

Closure of colostomy or enterostomy 

5185 - with or without resection and/or anastomosis 6 366.90 7 

S187 Plication of small intestine for adhesions 6 477.00 7 

Note: For division or removal of adhesions only, use S312. 

Manipulation (I.O.P.) 

Z538 Reduction of prolapse „ 22.70 4 

Z539 Dilation of gastrostomy, enterostomy, colostomy, etc 22.70 4 

Intubation of small intestine (therapeutic or diagnostic) 

Z540 - with or without fluoroscopy 57.65 

E732 - with biopsy « add 26.20 

MECKEL'S DIVERTICULUM 

Excision 

S1ÎM Meckel's diverticulum 5 321.50 6 

S159 - with small bowel resection 6 366.90 7 

MESENTERY 

Excision 

8195 Local excision of lesion ., 5 275.20 6 

8199 Resection of mesentery 5 293.50 6 

APPENDIX 
Incision 

8204 Drainage of abscess 5 215.80 6 

Excision 

S205 Appendectomy 5 228.90 6 

8206 - with gross perforation and peritonitis 5 32150 6 

RECTUM 
Endoscopy 

Sigmoidoscopy (with rigid scope) with or without anoscopy (I.O.P.) - 

Z535 not to be billed with Z555 or Z580 33.00 4 

Z536 - with biopsy(s) 40.20 4 

21592 - with decompression of volvulus 44.55 4 

E746 - when Z535, Z536 or Z592 or Z5 12 rendered in private office, add 5.20 

Excision 

Proctectomy 

Anterior resection or proctosigmoidectomy (anastomosis below peritoneal 

8213 reflection) 8 701.50 8 

8214 Abdomino-perineal resection or pull through 8 843.90 10 



284 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1139 



Code 



S215 
S216 
S217 
S218 

Z752 
E710 
S222 

Z572 
Z573 

Z753 
Z754 
Z755 



OPERATIONS ON THE DIGESTIVE SYSTEM • Coat'd. 
RECTUM • CoatU 

Two surgeon team 

- abdominal surgeon 

- perineal surgeon. 
Hartmann procedure. 



AssL Sus Ànfifis. 



Colon reconstruction following Hartmann procedure .... 
Biopsy of rectosigmoid or above for Hirsd^prung's disease (I.OJ*.). 
each additional biopsy . 



Presacral or trans-sacral proctotomy and excision of ksioo . 
Electrocoagulation and/or exdsioo of rectal carcinoma (I.OJ*.) 

- initial 

repeat ... 



Polyps or tumours of rectum or sigmoid (max. - 2 polyps any size or tedmiqoe) (I-OP.) 

- electrocoagulation - base under 2 cm „ — 

- excision - base under 2 cm. 3 

- electrocoagulation or excision - base over 2 cm „____„.„.„ „ 3 



Note: For fulguration or excision of tumours throu^ the colonoscope use codes ZS70, ZS71. 



Manipulation (I.O.P.) 

Dilation, and/or disimpaction or removal of foreign body under general anaesthetic 

Z541 (when sole procedure performed) 

Z756 Fecal disimpaction - no anaesthetic 



OPERATIONS ON THE ANUS 
Preamble: 

(1) The fees for excision, ligation, injection of haemorrhoids and treatment of intra or 
perianal condylomata acuminata include anoscopy. 

Endoscopy 
Z543 Anoscopy (proctoscopy)(I. O.P.) 



Incision 

Z544 Biopsy (I.O.P.) 

Z545 Thrombosed haemorrhoid(s)(I.O.P.). 



70130 
256.80 
587.10 
688.40 
74.25 
41.10 
316.25 

128.40 
74.25 



44030 



Repair 

S223 Anastomosis of rectum „ 4 

Rectal prolapse 

5225 - excision of mucous membrane 3 

5226 - perineal repair - major 4 

5227 - abdominal approach 6 

5228 - insertion of Thiersh wire »... 3 

Suture 

5229 Suture of rectum, trauma-external approach „ 4 215.80 

Oosure of fistula 

S231 - recto vaginal (any repair) 4 300.20 

S525 - recto vesical „ 5 407.40 



52.40 
33.60 



5.70 



31.20 
22.70 



10 

9 
8 
4 



21.80 4 

74.25 4 

128.40 4 



215.80 


4 


32130 


4 


499.70 


8 


172.10 


4 



285 



1140 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE DIGESTIVE SYSTEM - Coord. 

Code OPERATIONS ON THE ANUS -Cont'd. Asst Siiry AnuP»; 

8241 Sphiiicterotomy(ies) 3 79.90 4 

S242 -with excision of nssure(s) 3 146.80 4 

Excision 

5246 Excision of nssure(s) 3 110.10 4 

Haemorrhoidectomy, with or without sigmoidoscopy or repair of fissure(s) and/or 

5247 sphincterotomy and/or anal dilation 3 200.90 4 

Complete haemorrhoidectomy using cryotherapy and/or Barron ligation(s) 

Z565 including rectal dilation (I.O.P.) 85.60 4 

Z546 Barron ligation(s) (I.O.P.) (not to exceed 6 m any one year) 24.50 

Z566 Barron ligation(s) plus cryotherapy (I.O.P.) (not to exceed 6 in any one year) 31.20 

S249 Local excision for malignancy 3 137.60 4 

Z757 Excision of benign anal lesion(s) (I.O.P.) 3 36.70 4 

S251 Fistula-in-ano 3 192.20 4 

introduction 

Z575 Haemorrhoid injections (I.O.P.) (Maximum 6 in any one year) 24.85 

Z576 Injections for anal fissure (I.O.P.) 32.10 4 

Repair 

S253 Low imperforate anus repair 7 366.90 7 

S260 High imperforate anus repair (supra-Ievator) 7 812.50 7 

5256 Excision of scar, for stenosis 3 128.40 4 

5257 Anoplasty, for stenosis 4 248.10 4 

5258 Repair of anal sphincter 4 248.10 4 

5259 Repair of anal sphincter and ano-rectal ring 4 321.50 4 

Destruction (I.O.P.) 

Z548 Cauterization of fissure 31.20 4 

Z549 Fulguration of condylomata - local anaesthetic 27.95 

Z758 - general anaesthetic .,. 3 75.80 4 

Manipulation 

Z550 Dilation of anal sphincter (I.O.P.) 10.90 4 

5248 Peter Lord procedure 39.30 4 

LIVER 

Incision 

Z554 Biopsy, incisional (I.O.P.) 74.25 

Z551 Biopsy, needle (I.O.P.) 64.20 4 

S268 Insertion of implantable pump for continuous liver perfusion 7 546.00 7 

Excision 

Hepatectomy 

8269 - local excision of lesion 7 316.25 7 

8275 - partial lobectomy 8 527.70 8 

8270 - left lateral segmental excision (through falciform ligament) 12 821.20 12 



286 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1141 



OPERATIONS ON THE DIGESTIVE SYSTEM • Coat'd. 
Code LIVER • Coat'd 



Aaat — Slug Aaass. 



S267 - complete left or right lobectomy 12 1146.20 12 

5271 - extended right lobectomy, through falciform Ugament 12 1146.20 12 

5272 Laparotomy, cholangiogram and biopsy (neonatal jaundice) 6 349.40 6 

S274 Liver transplant - donor 6 669.20 8 

5294 - recipient 20 1908.00 30 

5295 Repeat liver transplant 30 2620.90 40 

Note: For claims purposes, liver lobectomy includes cholecystectomy. 

Repair 

5273 Marsupialization and/or decompression of cyst(s) or abscess(es) 7 316.25 7 

E715 - more than three cysts or abscesses, add 66.80 

BILIARY TRACT 

- no extra fee for cholangiogram during abdominal surgery. 

Endoscopy (I.O.P.) - to include examination of stomach and duodenum i.e. not to be 
claimed with ZS61 

Manipulation and/or removal of common bile duct stones with or without 

Z558 sphincterotomy 270.80 5 

ZS59 Subsequent procedure (within 3 months following previous endoscopic procedure) ... 124.0S 5 

Insertion of endobiliary prosthesis 

Z556 -first one 74.25 

Z557 - each additional (max. of 3) 39 JO 

21593 Nasobiliary catheter insertion 49.55 

Incision 

Percutaneous transhepatic catheter drjiinage of obstructed bile ducts including daily 
supervision and including percutaneous cholangiogram 

5233 and catheterization to duodenum if achieved 

5234 - replacement of catheter in above 

Biliary duct calculus manipulation and/or removal via T-tube tract (I.OJP.) 

Z562 - when sole procedure performed . 

Z542 Intubation of bile duct for obstruction (I.O.P.) 

S278 Cholecystostomy 7 

S276 Choledochotomy (previous cholecystectomy) 7 

E704 - with choledochoscopy, to S276, S280, S281 or S287 plus E721 add 

5280 Transduodenal sphincterotomy and choledochotomy (previous cholecystectomy) 7 

Choledochoduodenostomy or choledochoenterostomy or choledochochole- 

5281 dochostomy cannot be claimed with S276 7 

5282 Cholecystogastrostomy 7 

5283 Cholecystoenterostomy 7 

E743 - with entero-enterostomy, (to S281, S283) add 

Intrahepatic choledochoenterostomy (anastomosis above the common hepatic 
S285 duct bifurcation) 9 825.60 12 



238.50 




47.20 




104.80 


7 


62.50 




334.60 


7 


550.40 


8 


42.00 




761.80 


9 


650.80 


9 


403.60 


7 


403.60 


7 


138.00 





287 



1142 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE DIGESTIVE SYSTEM - Cont'd. 
Code BILIARY TRACT -Cont'd. Asst Surp Anaes 

Excision 

S287 Cholecystectomy 7 410.60 7 

E721 - with choledochotomy, add 110.10 1 

E722 - with transduodenal sphincterotomy, add 146.80 1 

E728 - with truncal or selective vagotomy, add 151.10 

E729 - with highly selective vagotomy, add 256.80 

S291 Choledochectomy for tumour (for reconstruction,' refer to S281) 8 366.90 8 

Repair 

S25>2 Common duct stricture, dissection and/or resection 7 183.50 10 

(for reconstruction, refer to S281) 
S293 Biliary duct atresia, infant 8 12 

PANCREAS 

Incision 

Z577 Biopsy, incisional (I.O.P.) 110.10 7 

Z762 Biopsy, needle (I.O.P.) 74.25 

5297 Drainage of acute pancreatitis or abscess or marsupialization of cyst 7 366.90 7 

ExdsioD 

Pancreatectomy 

5298 Complete with splenectomy 9 1146.20 13 

5300 "Whipple type" procedure 9 1238.80 13 

5301 Local complete excision of tumour or lesion 8 458.65 8 

S309 Distal - body, tail with or without splenectomy with or without anastomosis 9 889.30 11 

E709 - with cholecystectomy, to S300 or S309 add 110.10 

Repair 

8305 Pancreatic cyst-gastrostomy 7 532.10 8 

5306 - duodenostomy 8 532.10 8 

5307 - jejunostomy 8 532.10 8 

Lateral pancreatoduodenostomy or anastomosis of filleted pancreatic duct to 

8304 btestine (Puestow) 9 733.80 10 

ABDOMEN, PERITONEUM AND OMENTUM 
Preamble: 

(l)When the laparoscope is used as a means of entrance to perform an intra 
abdominal procedure, no extra fee for laparoscopy may be claimed. 

(2) When an exploratory laparotomy is performed followed tw a colostomy through 
another incision in the abdomen, the colostomy fee should be claimed at 100% 
and the laparotomy at 85% of the listed fee. 

Paracente8is(I.O.P.) 

Z590 Aspiration for diagnostic sample 22.60 

Z591 Aspiration with therapeutic drainage with or without diagnostic sample 41 JO 4 

E724 Administration of chemotherapy or sclerosing agent, add 21.00 

Z763 Paracentesis with lavage for diagnosis (I.O.P.) 34.80 4 



288 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1143 



Code 

Z563 
Z564 
S312 
Note: 



OPERATIONS ON THE DIGESTIVE SYSTEM • Coat'd. 
ABDOMEN, PERITONEUM AND OMENTUM • Coat'd. 



A&&1 Sua Anaes 



£745 
S321 
E733 
E734 
E735 
£736 
E739 
E723 
■ E03 
£094 
S313 
S314 
ZS69 
Z594 
Z595 

Z574 

S311 
S320 
S203 
S209 



S316 
S317 
S318 
E748 
S319 
Note: 



ladskM 

Needle biopsy of peritooeum (I.O.P.) 

Open lavage of peritoneal cavity for diagnosis without tn^n ^^l exploration of 

peritoneal cavity (I.OP.) 

Laparotomy, with or without biopsy or for Hirschsprung's disease (except biopsies of 

stomach, liver, pancreas and multiple para-aortic lymph nodes) 6 

(1) S312 - Use for division or removal of adhesions, if no other abdominal surgery 

Deformed - may not be claimed with other intra-abdominal procedures 
(except for I.O.F.) 

(2) Omeotectomy for tumour debulking • professioaal asscssmeot by the OHIP 

Medical Coasultaat is available aad wàmy be requested. 



Insertion of tubes and post-operative continuous peritoneal lavage 

• when combined with any other abdominal procedure,.. 
Laparotomy for acute trauma 

- with repair of intestine, single, . 

multiple and/or with resectioo, . 

- with splenectomy, (partial or complete). 

- with repair of lacerated liver,. 

- with repair of diaphragm,. 

- with repair of lacerated spleen, . 

- with repair of ruptured bladder,.. 

- with nephrectomy, . 
Peritoneal abscess - subphrenic . 

- abdominal.. 

Pelvic abscess, incision and drainage - rectal or vaginal approach (LO.P.) 

Percutaneous abdominal abscess drainage including daily supervision 

Replacement of drainage catheter in abdominal abscess 

Removal of infected sutures from abdominal wall or re-eiqploration of wound for 

bleeding - general anaesthetic (LO.P.) 

Umbilical vein intra-abdominal dissection and catheterization (for newborn see 

Diagnostic & Therapeutic Procedures - Vascular Cannulation) . 

Insertion of antabuse into abdominal wall 

Insertion of peritoneo-jugular shunt for ascites - primary. 

-rev' ' 



add 

6 
add 
add 

add 2 
add 2 
add 2 
add 2 
add 2 
add 2 

7 

6 



ExdsioB 

Excision of full thickness abdominal wall tumour and primary closure. 

Umbilectomy- plastic 4 

Panniculectomy (includes any necessary diastasis repair) 6 

- with repair of umbilical hernia, add 

Mesenteric cyst 6 

S318 Panniculectomy requires OHIP authorization (see Surgical Preamble, 
paragraph 17) 



34.80 



66J0 



27520 



85.60 
358J0 
128.40 
190.40 
256.80 
169.50 
110.10 
169.50 



334.60 
238.50 
110.10 
209.70 
39 JO 

85.60 



209.70 6 
52.40 

256.80 7 

18330 7 



I.C. 

100.50 
393.10 
110.10 
302J0 



289 



1144 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE DIGESTIVE SYSTEM • ContU 

Code ABDOMEN, PERITONEUM AND OMENTUM - Cont'd. A^at Sur» Anaes 

Endoscopy 

Peritoneoscopy, culdoscopy or laparoscopy (I.O.P.) 

Z552 - without biopsy 4 110.80 6 

- with biopsy and/or lysis of adhesions and/or removal of foreign body and/or 

ZSS3 cautery of endometrial implants 4 157.60 6 

Repair 

8325 Omentopexy, sole operative procedure 6 275.20 6 

Herniotomy 

5322 - inguinal and/or femoral - infants 4 256.80 4 

S326 -children 4 228.90 4 

5323 - adolescents and adults 4 256.80 4 

5328 - unilateral with exploration of other side, infants and children 4 297.00 4 

5329 - strangulated or incarcerated - without resection of bowel 4 330.20 5 

5330 -with resection of bowel 6 595.80 7 

5332 - umbilical - adolescent or adult 4 256.80 4 

5333 - child (operative) 4 200.90 4 

E756 - with resection of strangulated contents, add 100.50 2 

E757 - without resection of strangitlated contents, add 50.20 1 

E764 - when done in conjunction with other abdominal surgery add 87.40 

5334 Omphalocoele and gastrochisis - one stage - repair 7 339.00 7 

Multiple staged - repair 

5335 - gross method or Silon mesh 7 334.60 7 

5336 - second stage repair (completion of abdominal wall closure) 7 334.60 7 

Diaphragmatic, other than oesophageal hernia 

5337 - one stage procedure - trans-abdominal 7 458.65 9 

5338 - trans-thoracic 9 458.65 13 

5339 - second stage and abdominal closure 4 266.45 9 

5340 Ventral - post-operative 6 334.60 6 

5344 Massive incisional hernia 6 375.65 6 

5345 Massive sliding inguinal hernia 6 316.25 6 

E725 Recurrent - all types, excepting oesophageal, add 2 78.60 2 

Repeat recurrent inguinal hernia (more than 2 repairs), to S322, S323, S326, S329, 

E726 S330 add 2 137.60 2 

5342 Epigastric 4 215.80 4 

E727 Hydrocoele - extra - applicable to adults only 59.40 

Suture 

5343 Secondary closure for evisceration - sole operative procedure in abdomen 6 248.10 6 



290 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1145 



OPERATIONS ON THE UROGENITAL SYSTEM 
OPERATIONS ON THE URINARY SYSTEM 

Code KIDNEY AND PERINEPHRIUM 



Preaable: 

(1) No additional claim should be made for nephroscopy wben done at the 

time of pyelolithotomy or ne|>hrolithotomy. 

(2) In a routine surgical approach to the kidney aiid related procedures, no 

additional claim should be made for rib resectioo carried out for access 
purposes. 

(3) When an adrenalectomy is performed in coojunctioo with a nephrectomy, 

and is incidental to the removal of the kidney, there should be no addi- 
tional claim for the adrenalectomy. 

(4) When the kidney has been operated on more than one month previously, 

the fee for the secondary surgery may be increased by. 



E752 



Z601 
S401 
5402 

S4Q3 

S404 
E763 
S40S 
Z600 
S406 
S407 
S4Q8 
S409 



S410 
S411 
S«3 

S412 
S413 
S415 
S416 
S417 

S418 



&C4 
S420 
S421 



Iwisioa 

Renal biopsy, needle (I.O J*.) . 

Drainage of kidney abscess . 

Drainage of perinephric abscess . 

Exploration of renal and peri-renal tissues (with or without biopsy or 

unroofing of cyst) 

Nephrotomy 

- with drainage - nephrostomy -when sok operative procedure on kidney.. 

- wben done in conjunction with other non renal procedure(s) . 

- with removal of calculus . 
' change of nephrostomy tube (I.O.F.) . 



Transsection of aberrant renal vessels - sole operative procedure. 
Pyelotomy - with drainage. 

- with removal of calculus .„ 

- with diversion of urine . 

ExdskM 

Calycectomy with diversion of urine. 

Partial or hemi-nephrectomy „. 

Partial or hemi-nephrectomy with total ureterectony . 
Nephrectomy 

- ectopic kidney. 

- himbar...» 

- transperitoneaL.. 



• thoraco-abdominal or radical nephrectomy . 

- thoraco-abdominal or radical nephrectomy with gland dissection 

- thoraco-abdominal or radical nephrectomy with incision and repair of inferior 
vena cava for removal of tiunour thrombus (See Preamble, paragraph B32) 

Extrophy - plastic closure of bladder with closure of abdominal wall and urethral 
lengthening with closure of pelvic floor with or without reimplantation of 
ureters 

Nephro-ureterectomy, total, with resection of uretero-vesical junction . 

Excision of stenosed renal artery with reimplantation or homograft . 



AsSi Sus Anaw 



I.e. 



75.90 





91.70 


4 


7 


302.20 


7 


7 


196.60 


7 


7 


324.80 


7 


7 


324.80 
137.40 


7 


7 


439 JO 
32J0 


7 


7 


347.85 


7 


7 


347.85 


7 


7 


398.70 


7 


7 


425.70 


7 


7 


466.20 


7 


7 


48920 


7 


7 


53L30 


7 


7 


425.70 


7 


7 


425.70 


7 


7 


476.50 


7 


9 


613.10 


13 


9 


640.10 


13 



I.C. 



I.C. 



7 


856.10 


10 


7 


540X)5 


10 


7 


717.95 


15 



291 



1146 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



OPERATIONS ON THE UROGENITAL SYSTEM 
OPERATIONS ON THE URINARY SYSTEM - Cont'd. 

Code KIDNEY AND PERINEPHRIUM • Cont'd. Asst 

Repair 

S422 Pyeloplasty (with or without nephropexy) 7 

E754 - with removal of calculus, add 

S426 Nephropexy - when sole operative procedure 7 

Symphysiotomy, for horseshoe kidney with or without nephropexy and associated 

5428 procedures 7 

Suture 

5429 Ruptured or lacerated kidney - repair or removal 7 

5430 Removal of staghom calculus filling renal pelvis and calyces to includex-ray control ... 7 

Extra Renal Procedures 

5431 Excision of retroperitoneal tumour 7 

5432 Exploration of retroperitoneal tumour 7 

5433 Sacro-coccygeal teratoma 6 

Z630 Extracorporeal shock wave lithotripsy (I.O.P.) 

Percutaneous - Procedures (LOJ*.) 

Z629 Percutaneous nephrostomy 

Z623 Insertion of stent 

Z624 Dilatation of tract 

Z625 Selective catheterization of calyces (one or more) 

Z626 Nephroscopy 

Z627 Removal of renal calculi 5 

E759 - if disintegrated by ultrasound, add 

Renal Transplantation Procedures: (submit on recipient's claim) These fees do not 
include immunosuppressive therapy which is on a fee for service basis. 

5435 Kidney transplant (surgical tejun fee) 

5434 Kidney re-transplant (surgical team fee) 

Donor nephrectomy - surgical team fee, unilateral or bilateral (to include renal 

5436 perfusion with hypothermia when rendered by surgeon) 

E753 -live donor, add 

For nephrological components, see Diagnostic and Therapeutic Procedures. 

5437 Renal autotransplantation 7 

Reconstruction or repair of renal artery done in addition to renal transplantation 

E762 procedures, add 

Z631 Fine needle aspiration of renal transplant 

URETER 

Endoscopic Procedures 

Cystoscopy with manipulation and/or removal of calculus and retrograde 

S470 pyelogram if required 

Z628 Cystoscopy and diagnostic ureteroscopy - above intramural ureter 

E760 - with removal of calculus, add 

E761 - if disintegrated by ultrasound, add 



Surg Anaixi 



476.50 

52.40 

347.85 

398.70 



398.70 
599.60 



347.85 7 

237.50 7 

398.70 6 

284.30 6 



139.80 
69.90 
87.40 
48.00 
87.40 

152.90 
87.40 



1088.05 13 
1302.50 13 

457.45 8 
142.20 

814.05 10 

274.00 
33.20 



219.20 4 
114.40 4 
152.90 
87.40 



292 



O. Reg. 94/89 



THE ONTARIO GAZETTE 
SURGICAL PROCEDURES 



1147 



OPERATIONS ON THE UROGENITAL SYSTEM 
OPERATIONS ON THE URINARY SYSTEM - CootU 

Code URETER • Coat'd. 



S442 

S443 
S444 

S44S 
S446 

S447 
S448 



S449 

S450 



S4S1 
SS61 
SS62 
S4S2 
S4S3 
S4S4 

S455 
S462 
S4S6 
S4S7 
S4S8 
S463 
S459 
S460 
S461 
S427 



S465 
S466 
S467 
S468 



LKisloB 

Peri-ureteral abscess.. 
Ureterotomy, abdominal or vaginal exploratory or for drainage 
-upper 2/3 

- lower V3 

- with removal of calculus 

- upper 2/3 

-lower 1/3 



- where ureter has been previously opened 

- upper 2/3 

-lower 1/3 



Eidsioa 

Ureterectomy - including uretero-vesical junction . 

- other e.g. partial 

Repair 

Uretero-vesical anastomosis or re-implantation unilateral 

Re-implantation of ureter with extensive tapering with or without ureterolysis . 

Bifid ureter 

Uretero-ileal conduit . 
Uretero-ileal conduit with total cystectomy.. 
Uretero-ileal conduit with ureterectomy and ileal replacement. 
Uretero-intestinal anastomosis or transplant 
-unilateral 

- bilateral. 

- bilateral with cystectomy, one stage 
Uretcro-ureterostomy . 



Asst Sua Anaes 



196.60 



Ureterostomy - cutaneous - unilateral.. 

■ with lower third ureterotomy 

Uretero-vaginal fistula.. 



Ureterolysis for peri-ureteral fibrosis - unilateral. 
Ureteroplasty (Hutch) - unilateral.. 



Bladder flap (Baori) - to include reimplantation of ureter. 

Satore 

Spontaneous or traumatic rupture or transsection 

- immediate - upper 2/3_ 

- lower 1/3 

- late repair - upper 2/3 

- lower 1/3 . 



6 


237.50 


6 


6 


347.85 


6 


6 


343.10 


6 


6 


439.20 


6 


6 


398.70 


6 


6 


476J0 


6 


6 


398.70 


7 


6 


301.80 


7 


6 


398.70 


8 


6 


599.60 


8 


6 


439.20 


8 


6 


717.95 


9 


9 


1138.90 


15 


6 


814.05 


9 


6 


301.80 


6 


6 


398.70 


6 


9 


897.40 


13 


6 


50330 


8 


6 


237 JO 


6 


6 


347.85 


6 


6 


508J0 


6 


6 


398.70 


6 


6 


301.80 


6 


6 


457.45 


6 


6 


347.85 


6 


6 


398.70 


6 


6 


398.70 


6 


6 


439 JO 


7 



293 



1148 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OreRATIONS ON THE UROGENITAL SYSTEM 
OPERATIONS ON THE URINARY SYSTEM • Cont'd. 

Code BLADDER ÂSSt Surg ^aas& 

Preamble: 

(l)No extra claim should be made for EUA when done at the time of cystoscopy. 

(2) Visit fees, as applicable, to be claimed for changing a suprapubic tube. 

(3) No claim should be made for pre^ystoscopy dilatation of the male urethra unless 

urethral stricutrc is the primary diagnosis. No claim should be made for 

dilatation of the female urethra when done at the same time as cystoscopy. 

Endoscopy • Cystoscopy 

Diagnostic Procedures (LO.P.) 

Z606 Diagnostic with or without urethroscopy « 64.70 4 

Z607 Repeat within 30 days 32.30 4 

E774 Vntb dilatation of the male urethra when stricture is primary diagnosis, add 16.60 

With catheterization of ureters with or without hydrodistension of the bladder, 
brush biopsy of bladder, collection of ureteral specimens, intravenous function 
test and retrograde injection of opaque media and calibration and/or dilatation 
E775 of tlie ureter - one or both sides,.. --........ add 14.00 

With transurethral biopsy, brush l>iopsy of renal pelvis and/or ureter and/or 

E776 insertion of ureteral stent, .~. — ~~~~ 

E777 With manometry (to include urethral pressure profile if required), . 
E778 With meatotomy or internal urethrotomy (fenuiie), ............................. 

E779 With meatotomy and retrograde pyelogram,. 
E780 With needle biopsy of prostate, 

Therapeutic Procedures 
E781 With electrocoagulation - tumour (s),.. 
E782 • Hunner ulcer, 

With excision of tumour or tumours including base and adjacent muscles and 
electrocoagulation if necessary 
E7S3 Single tumour 1 to 2 cm. diameter, 

E784 Single tumour over 2 cm. diameter, .. 

E785 Multiple tumours, 

E786 With resection bladder neck, female, 

E787 With resection bladder neck, male, 

E788 With electro surgical ureteral meatotomy, 

E789 With removal foreign body or calculus, 

E790 With removal of ureteric catheter, 

E751 With insertion of radioactive substance, in addition to associated procedures 

8502 With secondary surgical evacuation of bladder clots and control of haemorrhage 
Note: SS02 - "with" means the listed benefit includes the cystoscopy. 

Introduction (I.O.P.) 

Catheterization; acute retention, change of retention catheter or 

Z602 instillation of medication - office 7.90 

Z603 - home 14.60 

Z611 - hospital 7.90 



add 


22.70 


add 


10.50 


add 


7.90 


add 


22.70 


add 


29.70 


add 


45.40 


add 


45.40 


add 


182.70 


add 


333.60 


add 


333.60 


add 


90.85 


add 


237.50 


add 


90.85 


add 


90.85 


add 


4.00 




49.80 




77.75 



294 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1149 



OPERATIONS ON THE UROGENITAL SYSTEM 
OPERATIONS ON THE URINARY SYSTEM - Coat'ë. 

Code BLADDER • CMt'd. 



Z60S 
S47B 
S479 

S480 
E750 
S481 
S476 
S477 



S482 
S483 
S490 
S484 
S4SS 
S453 
S440 
S441 
S471 
■ S487 
S488 
S489 
S491 



S512 
S513 
S518 
S519 
S520 



S521 



S522 
S523 
S524 
S525 
Note: 



Assl — Sua ^aass. 



hdsioa 

Aspiration (IOJ>.)- 
CystoComy or qrstostomy. 



Cystotomy or cyst ostomy and electrocoaguUtioa of tumour.. 
Cystotomy with trochar and cannula and insertion of tube ~. 
- wben done in conjunction with another procedure, — 

Cystoiithotomy - when sole operative procedure 

CiUaneous vesicostomy 

Reduction cystoplasty (bladder plication) — 



-. 5 
_ 5 



.add 



Excision 
Cystectomy 

- partial for tumour or diverticulum (sin^ or multiple). 

- with reimplantation of ureter 

- with reimplantation of ureters . 



- complete cystectomy, without transplant ..~ 

- with uretero-intestinal transplant 

- with uretero-ileal conduit. 

- complete cystectomy with Koch pouch urinary diversion. 
Creation of Koch pouch urinary diversion 

Excision of urachal cyst or sinus with or without umbilical hernia repair 

Excision of urachus, repair of bladder and diversion of urine — 

Extrophy-excision of bladder and repair of abdominal wall, inclusive of graft. 

- above including bilateral ureterosigmoidostomy.. 
Plastic repair of extrophy using bladder and including skin flaps — 

Repair 

Repair of ruptured bladder . 

Cystoplasty, using intestine . 

Plastic repair of bladder neck - child. 



adolescent or aduk. 



- with diverticulectomy.. 



Destruction 

Litholapaxy and removal of fragments . 



Suture 

Closure of fistula 

External, suprapubic 

Vesico-vaginal - vaginal approach 

- transvesical approach (with or without omental flap) 

Vesico-rectal or vesico-sigmoid — 

Closure of fistula see also S734, 5711 Operations on the Female Genital System. 



11J5 
196.60 
301.80 
77.75 
23 JO 
237.50 
398.70 
324.80 



347.85 
503 JO 
668.70 
599.60 
897.40 
1138.90 
1344.60 
923.65 
270.00 
270.00 
196.60 
599.60 
599.60 



301.80 
599.60 
301.80 
398.70 
50330 



196.60 



4 23730 4 

4 393.10 6 

5 425.70 6 
5 407.40 6 



6 

7 

7 

10 

15 
15 
15 
6 
6 
6 
6 
6 



295 



1150 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE UROGENITAL SYSTEM 
OPERATIONS ON THE URINARY SYSTEM • CootU 

Code URETHRA Asst Snry Ag af^j 

Endoscopy 

Z617 Urethroscopy - diagnostic (I.O.P.) 32.30 4 

Z618 - with biopsy (I.O.F.) 71.20 4 

8547 Removal of foreign body or calculus 155.70 4 

Incision 

Z616 Biopsy of urethra (without endoscopy)(I.O.P.) 21.40 4 

5530 Urethrotomy - external 3 196.60 4 

5532 - transurethral (visual) 3 301.80 4 

S538 - repeat procedure within 6 months by same surgeon 3 173.90 4 

5531 Urethrostomy 3 196.60 4 

Z604 Meatotomy and plastic repair (I.O.P.) 29.00 4 

5533 For extravasation of urine with multiple drainage 3 196.60 4 

5534 - above with external urethrotomy or cystotomy 3 301.80 4 

Z609 Peri-urethral abscess (I.O.P.) 29.00 4 

Excision 

5536 Caruncle 3 77.75 4 

5537 Urethral papilloma, single or multiple 77.75 4 

8541 Diverticulectomy - male or female 3 237.50 4 

8542 Posterior urethral valve 4 301.80 4 

8543 Prolapse urethra, excision 3 77.75 4 

8544 Urethrectomy - radical 4 196.60 4 

Repair 

8548 Urethral sling 4 347.85 6 

Retropubic urethropexy (e.g. Marshall Marchetti) for stress incontinence 

8549 - primary procedure 4 273.20 6 

- repeat procedure for failed retropubic or vaginal surgery for stress 

8546 incontinence 4 320.10 6 

Note: 8ee also 8731-8733, Operations on the Female Genital System for stress incontinence. 

8559 Prosthetic procedure for urinary incontinence (e.g. Kauffman, Rosen type etc.) 3 347.85 5 

8560 - where perineum has been previously operated on for incontinence 3 398.70 5 

8563 Removal of perineal incontinence prosthesis 3 131.00 4 

Insertion of inflatable prosthesis at bladder neck with or without urodynamic 

8539 control 4 707.60 6 

8540 Revision or removal of inflatable prosthesis at bladder neck 3 218.40 4 

8545 Urethroplasty - 1st stage - posterior 4 347.85 6 

8550 - anterior 4 261.30 4 

8558 -2nd stage 4 214.40 4 

8535 - one stage repair (to include skin graft if necessary) 4 347.85 6 

Suture 

8551 Rupture, anterior urethra (diversion of urine extra) 4 155.70 4 

8552 Posterior urethra - immediate repair 4 398.70 4 

8553 - late repair 4 503.50 5 



296 



O. Reg. 94/89 THE ONTARIO GAZETTE 1151 

SURGICAL PROCEDURES 

OPERATIONS ON THE UROGENITAL SYSTEM 
OPERATIONS ON THE URINARY SYSlllM • Owt'd. 

Code URETHRA- Cont'd. ASSI SUX AOBK 

5554 Fistula -penile urethra (diversion of urine extra) 83^ 4 

5555 - perineal urethra 4 297.00 4 

5556 Recto-urethral with diversion, colostomy and dosure of cokKtomy 6 S0350 7 

DestnKtkM 

5557 Urethro-vesicolysis - when sole operative procedure 3 196.60 4 

Transurethral incision or resection of external sphincter (when sole operative 

S564 procedure) 297.00 4 

Manipulation (I.O.P.) 

Z621 Dilatation of stricture, male - local anaesthetic 9.70 

Z619 - general anaesthetic 48.00 4 

2K22 Dilatation of urethra, female 5.00 

Z620 - under general anaesthetic 38.00 4 



297 



1152 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MALE GENITAL SYSTEM 
Code PENIS Asal Sur^ Anaes 

Incision 

S567 Slit of prepuce (complete care) - newborn 13.10 

8568 -infant 19.65 4 

5569 - adult or child 27.50 4 

Excision 

5570 Circumcision - newborn (Complete care) 31.40 

5573 - infant, adult or child 3 82.10 4 

Z702 Biopsy (I.O.P.) 21.40 4 

5574 Amputation - partial 4 155.70 4 

5575 - partial with inguinal glands 1 or 2 stages 4 398.70 5 

5576 - radical with inguinal and femoral glands 1 or 2 stages 6 503.50 7 

Z701 Condylomata (I.O.P.) - local anaesthetic 29.90 

Z767 - general anaesthetic 71.50 4 

S599 Excision plaque for Peyronies disease 4 192.20 4 

- where grafting is necessary, add appropriate skin graft fee 

Repair 

Hypospadias or Epispadias 

5578 One stage repair - with meatus to but not into glans 4 262.10 4 

5571 - with advancement of meatus into glans 4 349.40 4 

5572 - into glans using island flap pedicle (penoscrotal) 4 603.60 6 

5579 Chordee repair 4 196.60 4 

5580 Plastic reconstruction, urethra 4 301.80 4 

5581 Closure urethro-cutaneous fistula 83.90 4 

5597 Penile prosthesis for impotence 4 279.55 4 

E755 - with inflatable prosthesis, add 50.20 

5588 Surgical removal of prosthesis 4 100.50 4 

S566 Revision including removal of prosthesis 4 218.40 4 

Z700 Intracorporeal injection for impotence (I.O.P.) . 25.30 

TESTIS 

Incision 

Z703 Abscess (I.O.P.) 50.20 4 

Z704 Biopsy (I.O.P.) - single 50.20 4 

Z705 - bUateral 76.00 4 

Z706 - with vasography (see also Diagnostic Radiology - G.U. Tract) 110.10 4 

5589 Orchidectomy - unilateral 3 155.70 4 

5590 Radical removal lymph nodes for testicular tumour 6 760.00 8 

5598 Radical orchidectomy for malignancy - unilateral 3 214.40 4 

Repair 

Orchidopexy for undescended testis, any type, one or two stages to include 

5591 hernia repair where required 4 301.80 4 

5592 - second stage (Torek) repair 50.20 4 

5593 Exploration for undescended testicle, without orchidopexy 4 237.50 4 



298 



O. Reg. 94/89 THE ONTARIO GAZETTE 1153 

SURGICAL PROCEDURES 

OPERATIONS ON THE MALE GENITAL SYSTEM - Coat'd. 

Code TESTIS - Coat'd. Awt Snrg Xn»^ 

Reduction of torsion of testis or appendix testis and orchidopo^ (one or both sides), 

S600 if required 3 214.40 4 

5595 Ruptured testicle 3 155.70 4 

5596 insertion of tcstiailar prosthesis 3 155.70 4 

EPIDIDYMIS 
iBdsioa 
Z707 Abscess (I.O.P.) 50.20 4 

ExdsioB 

5(501 Spermatocoele or spermatic granuloma 3 155.70 4 

S602 Epididymectomy - unilateral 3 155.70 4 

Repair 

S606 Anastomosis Epididymovasostomy - unilateral 3 155.70 4 

TUNICA VAGINALIS 
Indsioa 

Z708 Hydrocoele aspiration (i.OJ*.) 14.60 

Exdsiw 

S611 Hydrocoele - unilateral . 4 155.70 4 

Note: S611 when done with hernia repair use E727. 

SCROTUM 

ladsioB 

Z709 Abscess or haematocoele 0O.P.) - local anaesthetic 18.10 

Z768 - general anaesthetic 50 JO 4 

S616 - and exploration - unilateral 3 77.75 4 

Exdsioo 

S618 Resection of scrotum 3 196.60 4 

Sature 

Trauma - laceration - depending on extent and complications (See Preamble, 
.5619 paragraph B32) i.C. i.C. 

VAS DEFERENS 
iBdsioa 

Z710 Vasography (i.O.P.) 50 JO 4 

Repair 

Vasovasostomy and/or vasoepididymostomy (to include microscopic control if 

5623 required) 3 196.60 4 

5625 - including biopsy and vasography 3 237 JO 4 

Suture 

5626 ligation - uni or bilateral 3 97.90 4 



299 



1154 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE MALE GENITAL SYSTEM- Cont'd. 
Code SPERMATIC CORD Asst Sury Anaes 

Excision 

5630 Hydrocoele - single 3 155.70 4 

5631 Varicocoele - single 3 155.70 4 

Note: S630 when done with hernia repair use E727. 

SEMINAL VESICLES 
Incision 

Z711 Abscess (I.O.P.) 110.10 4 

Excision 

8636 Vesiculectomy 3 503.50 4 

PROSTATE 

Preamble: 

A transurethral resection followed within 10 days by a bilateral orchidectomy because of 
carcinoma of the prostate should be claimed in accordance with paragraph (3) 
of the Surgical Preiunble. 

Incision 

Z712 Biopsy, needle (I.O.P.) 71.20 4 

Z713 - with drainage abscess (I.O.P.) 3 83.90 4 

5644 Biopsy, perineal, open operation 3 196.60 4 

Removal of calculus (with or without biopsy) 

5642 - perineal 4 398.70 4 

5643 - retropubic 4 398.70 4 

Excision 

Prostatectomy (not to include investigative cystoscopy) but to include vasectomy 
when indicated. 

5645 - perineal 6 402.65 6 

5646 - perineal with vesiculectomy 8 613.10 11 

- suprapubic - (with or without removal of bladder stones) 

5647 -one stage 5 420.90 6 

5648 - two stages - 1st stage 5 1%.60 6 

5649 - 2nd stage 5 237.50 6 

- retropubic - (with or without removal of bladder stones) 

5650 - simple 5 420.90 6 

5651 -radical 5 706.80 6 

S641 - transpubic total prostatovesiculectomy with pelvic lymph node dissection 8 864.90 11 

5652 Staging pelvic lymphadenectomy for prostatic cancer 7 301.80 7 

Endoscopy 

Transurethriil resection of prostate (no additional fee for cystoscopy, meatotomy 
dilatation of stricture, internal urethrotomy or vasectomy when done at the 

5655 same time) 410.60 6 

Transurethral resection of prostate for residual or regrowth of tissue within one 

S654 year of previous prostatectomy by same surgeon 288 JO 6 

5656 Transurethral drainage of abscess 77.75 5 



300 



O. Reg. 94/89 THE ONTARIO GAZETTE 1155 

SURGICAL PROCEDURES 

OPERATIONS ON THE FEMALE GENITAL SYSTEM 

Code Assl Sary ^niirfi 

PrauBble 

(1) In cxNoposite operatioiis such as anterior and posterior re])air and D&C or 
anterior and posterior repair and caoterizatioa ot cervix and biopsy, the fee shall 
be that of the major procedurc(s). 

(2) No fee may be claimed for a D&C if (a) it is carried out prior to hysterectomy or 
ectopic pregnancy, or (b) it is carried out routinely prior to tubal occlusion. 

(3) A D&C may be claimed at 85% when pregnancy termination (S752, S756, S785) 
is carried out at tubal occlusion. If a D&C is indicmtcd for abnormal uterine 
Ueeding independent of the tubal occlusion procedure or diagnostk 

E857 laputwcopy, „ „ add 41.70 

(4) When operative procedures are carried out for infertility, the fee shall be that of 
the major procedure. When additional procedure(s) are required e.g. uterine 
suspension, oophorocystectomy or myomectomy, may be daimed for each 

E8S8 additional procedure „ 63.10 

VULVA AND INTROrrUS 

iBdsioa 

S700 Hymenotomy 45.90 4 

Abscess of vulva, Bartholin (»- Skene's gland (I-O J*.) - incision and drainage 

Z714 - local anaesthetic 15.60 

Z715 - general anaesthetic 3 45.90 4 

Z716 Marsupialization of Bartholin's cyst OT abscess (I.O J*.) 3 64.90 4 

Z717 Perineotomy (I.O.P.) 15.60 

EadsioB 

Biopsy(s) - when sole procedure (I.O.P.) 

Z477 - local anaesthetic 15.70 

Z475 - general anaesthetic 3 45.90 4 

5707 Hymenectomy (with or without perineotomy) 64.90 4 

S706 Cyst of Bartholin's gland 3 102.05 4 

Condylomata - single or multiple (I.O.P.) 

Z733 Chemical and/or cryosurgery - one or more „ 9.70 

Surgical excision or electrodesiccation or CO2 laser 

Z736 - local anaesthetic „ 24.20 

Z769 - general anaesthetic 103.90 4 

Vulvectomy 

5703 - simple 4 231.90 4 

5704 - radical - without gland dissection 6 389.15 6 

E850 - with bilateral inguinal node dissection with or without skin graft, add 157.60 1 

E851 - with bilateral common iliac node dissection with skin graft, „ add 231.90 2 

Repair 

Non obstetrical injury to vulva and/or vagina, and/or perineum (see Preamble, 

5708 paragraph B37) I.C. I.C. 

5705 Ligation - of varicose vein of labia 64.90 4 



301 



1156 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES' 

OPERATIONS ON THE FEMALE GENITAL SYSTEM • Cont'd. 

Code VAGINA AaSt Smrr An«>« 

Eodoscopy 

Z478 Vaginoscopy (premcnarchal) with or without medication (I.O.P.) 4S.90 4 

Culdoscopy - sec ZSS2 - Abdomen, Peritoneum and Omentum - Digestive System 

Incision 

S712 Culdotomy, drainage or needle puncture . 64.90 4 

S7U Culdotomy, incision and exploration 3 103.20 4 

Z728 Incision and drainage of cyst, abscess or haematoma 45.90 4 

Excision 

Biopsy(s) - when sole procedive (I.O.P.) 

Z722 - local anaesthetic 15.70 

Z723 - general anaesthetic 45.90 4 

5715 Excision of cyst(s), or benign tumour(s) 3 111.70 4 

S742 Coipectomy - e.g. for carcinoma 4 315.10 6 

S702 Excision of congenital vagmal septum 3 111.70 4 

Repair 

5716 Anterior or posterior repair 4 148.10 5 

5717 Anterior and posterior repair 4 231.90 5 

5718 Anterior and posterior repair and repair of enterocoele and/or vault prolapse 4 315.10 5 

5719 Posterior repair and repair of enterocoele and/or vault prolapse 4 278.00 5 

5723 Posterior repair and repair of anal sphincter 4 245.80 5 

Anterior repair (with or without posterior repair) and repair of uterine prolapse 

5720 (Fothergill or Watkin's interposition) 4 315.10 5 

5721 Anterior, posterior repair with excision of cervical stump 4 315.10 6 

Post hysterectomy vault prolapse with or without enterocoele and with or without 

5722 anterior and posterior repair - vaginal approach 4 315.10 6 

5760 Abdominal approach to vaginal vault prolapse - vaginal sacropexy 4 315.10 6 

5761 Combinedabdominal/vaginalapproachforrepair of vaginal vault prolapse 7 389.55 7 

Perineorrhaphy (not to be claimed with dehvery or other vaginal siu-gery 

5724 procedures) 3 110.80 4 

5725 Colpocleisis (LeFort or modification) 5 231.90 5 

5726 Construction of artificial vagina (see Preamble, paragraph B.32) 4 l.C. 6 

Closure of fistula 

S523 Vesico-vaginal - single surgeon 4 393.10 6 

S734 - two surgeons - vaginal surgeon 4 268.40 6 

S711 - abdominal surgeon 268.40 

Note: S711 - See also S524 - Bladder Procedures 

S231 Recto-vaginal (any repair) 4 300.20 6 

S729 Uretero-vaginal 6 508.30 6 

S709 Urethro-vaginal 4 338.30 4 

Retropubic urethropexy (e.g. Marshall Marchetti for stress incontinence) 

S549 - primary procedure 4 273.20 6 

- repeat procedure for failed retropubic or vaginal surgery for stress 

S546 incontinence 4 320.10 6 



302 



O. Reg. 94/89 THE ONTARIO GAZETTE 1157 

SURGICAL PROCEDURES 

OPERATIONS ON THE FEMALE GENITAL SYSTEM - Cont'd. 

Code VAGINA • CootU Asst Snry Anaps 

Retropubic urethropexy - combined abdominal-vaginal procedure for stress 
incontinence (sling procedure) 

- following previous failed procedures 

5731 - one surgeon 7 389.55 7 

5732 - two surgeons - vaginal surgeon 7 231.90 7 

5733 - abdominal surgeon 315.10 

- following two or more failed procedures 

5748 - one surgeon 7 606.00 7 

5749 - two surgeons - vaginal surgeon 7 389.55 7 

S751 - abdominal surgeon 432.80 

Manipulation 

Examination and/or dilatation (may include insertion and/or removal of I.U.C.D.) - 
when sole procedure 

Z735 General anaesthetic (I.O.P.) 45.90 4 

U.V.C. Removal of I.U.D. without G.A visit.fee 

CERVIX UTERI 

Endoscopy (I.O.P.) 

Initial investigation of abnormal cytology of vulva and/or vagina or cervix under 

Z731 colposcopic technique (to include biopsies and curetting) 45.90 

Z730 Follow up colposcopy 7.80 

Cauterization (I.O.P.) 

U.V.C Chemical visit.fee 

Z732 Cryotherapy 15.60 

Z724 Electrocautery 7.80 

Z725 Dilatation and cauterization under general anaesthesia 45.90 4 

Conization 

S744 Cervix - cone biopsy - any technique, with or without D&C 3 157.60 4 

Cryoconization, electroconization or CO2 laser therapy with or without curettage 
(I.O.P.) - for premalignant lesion (dysplasia or carcinoma in situ) 
Z729 - out-patient procedure 34.60 

Excision 

Z720 Biopsy - with or without fulguration (I.O.P.) 15.60 4 

5765 Amputation of cervix 4 156.65 4 

5766 Cervical stump - abdominal 6 231.90 6 

5767 -vaginal 4 231.90 4 

Note: Excision of cervical poiyp(s) under general anaesthesia, use Z720 

Repair 

S774 Repair of incompetent cervix - not associated with pregnancy 3 129.85 4 



303 



1158 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE FEMALE GENITAL SYSTEM • Cont'd. 
Code CORPUS UTERI Aast Snry Anaes 

Endoscopy (I.O.P.) 

ZS83 Hystcroscopy with or without biopsy or D&C 95.30 4 

2LS85 - with cannulization of tube(s), lysis of btrauterine adhesions or embryo transfer. 110.80 4 

Incision, Excision 

Z719 Endometrial biopsy, cytology - wash or brush (I.O.P.) 17.90 

Z581 Office endometrial curettage (I.O.P.) 32.20 

U.V.C Abortion - spontaneous, complete visit.fee 

5768 - spontaneous, complete - including D&C 83.80 4 

5752 - induced - curettage, intra-amniotic injection (complete) 102.05 4 

S785 - induced - intra-amniotic injection (incomplete) followed by curettage 171.40 4 

5756 - missed abortion, or evacuation of molar pregnancy 102.05 4 

5770 - hysterotomy 6 221.60 6 

5783 - hysterotomy with tubal interruption 6 231.90 6 

Diagnostic curettage (with or without cauterization, biopsy of cervix, removal of 

5754 polyps, Rubin's test or hysterosalpingography) 83.80 4 

Intracavitary application of radium or sealed sources including D&C carried out at 

same time as application (to include consultation fee) 

5753 - first application 166.20 4 

5755 - repeat application 83.10 4 

S764 Myomectomy 6 315.10 6 

Hysterectomy (with or without adnexa) 

5757 Total or subtotal - abdominal or vaginal 6 389.55 6 

- with anterior and posterior vaginal repair to include enterocoele and/or vault 

5758 prolai)se as required 6 555.90 6 

- with anterior or posterior vaginal repair including enterocoele and/or vault 

5759 prolapse 6 

S710 - with omentectomy for malignancy 6 

5769 Radical (Schauta) - vaginal 8 

8763 Radical (Wertheim's) 8 

Note: S757-S763, S710, 8769 are total fees, the following codes are not allowed m addition: 

S722, 8738, S741, S745-S747, S780-S782. 

Repair 

5771 Uterine suspension - any technique - sole procedure 6 224.20 6 

E859 Uterine suspension in conjunction with major procedure, add 43.30 

S779 Hysteroplasty - excision of septum 6 315.10 6 

S775 - unification of double uterus (Strassman) 4 389.55 4 

5777 - uterine inversion, operative 4 315.10 6 

5778 Presacral neurectomy (with or without ovarian neurectomy) 6 315.10 6 

FALLOPIAN TUBE 

Excision, Suture or Repair 

5784 Ectopic pregnancy - management by any surgical technique 6 277.20 6 

E852 - with tuboplasty, add 4330 

E860 Diagnostic laparoscopy prior to laparotomy for ectopic pregnancy, add 64.90 

S738 Salpingectomy and salpingo-oophorectomy (uni or bilateral) 6 277.20 6 



472.50 


6 


472.50 


6 


555.90 


8 


620.70 


8 



304 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1159 



OPERATIONS ON THE FEMALE GENITAL SYSTEM - Cwt'd. 
Code FALLOPLiN TUBE • Coat'd. 



S741 

S735 
S736 
S739 

S737 



S743 
Z552 

Z553 

E855 
E856 
E857 
S727 



S780 
S745 
S782 
S747 

S714 



AsSt Sus AUÊCS. 



Tubal occlusioa/intemiptioo/reiDOval by any method or approach for the purpose 

of sterilization 6 

Tubal plastic operation with/without operating microscope uni or bilateral 

Funbrioiysis 6 

Salpingostomy 6 

Funbrioiysis and salpingostomy — 6 

Tubal patency reconstruction (any surgical technique) after previous tubal 

occlusion procedure 6 

Repair of extensive tubal and peritubal disease for infertility, pelvic inflamatory disease 

or endometriosis using operatmg microscope - not to be rlaimrd for reconstruction 

following previous sterilization procedure 

- unilateral or bilateral 8 

Diagnostic laparoscopy (I.O.P.) 4 

- with biospy and/or lysis of adbesioas aad^or nmmal of forrign body aad/or 
aiatery of endometrial implants 4 

- with dye injection, — add 

- with endometrial biopsy, . add 

- with D & C, add 

Laparoscopy for oocyte retrieval 4 

OVARY 



Exdsioa (unilateral or bilateral) 

Biopsy of ovaries by laparotomy 

Oophorectomy and/or oophorocystectomy . 
Oophorectomy with total omcntectomy. 



Para ovarian cystectomy 6 

Second look exploratory laparotomy including biopsies, when done as part of chemo- 
therapy protocol for ovarian carcinoma with or without total omentectomy 6 

For Diagnostic and Therapeutic procedures • sec Gyaaecology 



157.60 6 

277.20 6 

324.60 6 

367.90 6 

509.90 6 



555.90 


8 


110.80 


6 


157.60 


6 


17.90 




17.90 




4L70 




138.60 


6 



231.90 
277.20 
37030 
277.20 

389.55 



305 



1160 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE ENDOCRINE SYSTEM 

Code THYROID GLAND Asst Snry Anaes 

IndsioD 

Z726 Aspiration, thyroid cyst (I.O.P.) 25.70 

Z727 Percutaneous silicone core needle biopsy, (I.O.P.) 51.50 6 

Z771 Aspiration biopsy, thyroid gland or nodule fine needle method (I.O.P.) 25.70 

S786 Abscess 74.25 4 

Excision 

8787 Biopsy - surgical 4 192.20 6 

5788 Thyroidectomy - total 6 555.90 8 

5789 - subtotal 6 436.80 7 

5790 - hemi 6 333.60 7 

E880 - parathyroid(s) re-implantation, add 166.00 

E881 - if requiring splitting of sternum, add 74.25 

5791 Excision of solitary nodule 6 274.00 6 

PARATHYROID, THYMUS AND ADRENAL GLANDS 

Excision 

5795 Exploration and/or removal, parathyroids or parathyroid tumour 6 546.20 8 

5796 - if requiring splitting of sternum 10 620.50 13 

E880 - parathyroid(s) re-implantation, add 166.00 

5792 Re-exploration of neck for hyperparathyroidism 6 620.50 8 

E882 • with hemi thyroidectomy, add 161.60 

E883 - with subtotal thyroidectomy, add 242.90 

E884 - with total thyroidectomy, add 340.70 

5797 Thymectomy 10 554.90 13 

5798 Adrenalectomy or exploration - unilateral 10 388.90 10 

5799 - bilateral, with or without oophorectomy 10 602.95 11 

5800 Adrenalectomy - unilateral for pheochromocytoma 10 524.30 13 

Note: When an adrenalectomy is performed in conjunction with a n^hrectomy, and is 
incidental to the removal of the kidney, there should be no adcGtional claim for 
the adrenalectomy. 

Z772 Thymus transplant (LO.P.) 73.50 4 



306 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1161 



OPERATIONS ON THE NERVOUS SYSTEM - CoatU 
Code CRANIAL - Coat'd. 



Asst Sn rp Anags 



N121 

N108 
N118 



N104 
N157 
N120 



N158 
N159 
N160 

N117 
N115 
Z818 
N113 
N109 
NllO 
N130 
N128 
N129 

N193 
E901 
N123 

E931 

N119 

Z823 
Z824 
Z813 
Z806 

Z802 
Z82S 
E916 
E917 
£918 
Z819 
Z820 
Z812 
N127 



Extracranial-intracranial long venous bypass (from internal carotid in the neck or 
any of the trunk vessels in the neck or chest to a major intracerebral vessel. 
Le. vertebral, internal carotid, middle cerebral) 

Carotid-cavernous fistula 

Intracranial obliteration (to include combined cervical and intracranial procedure) 11 1107.10 

Extracranial approach to include balloon catheter or embolization techniques 11 673.50 

Spontaneous intracerebral haemorrhage 
Craniotomy plus removal 

- infratentorial , 11 

Burr hole plus drainage 11 

Intracranial cyst 

Craniotomy plus évacuation (to include interveatrkuloaomy) 

Burr hole plus aspiratioa 11 

Brain abscess: 

Burr hole aspiration 7 

Subsequent aspiration through existing burr hole within 30 days(I.O.P.) 

Craniotomy for brain biopsy (other than for tumour) 11 



11 1541.50 15 



15 
15 



794.20 15 
890J0 15 
434.10 15 



79420 15 
913J0 15 
359.80 15 



Hemispherectomy 11 

Lobectomy and/or excision of cortical scar for epilepsy 11 

Craniotomy plus midline commissurotomy 11 

Repair of encephalocoele 11 

Posterior fossa decompression for Arnold Chiari malformation 11 

Posterior fossa craniectomy and plugging of obex (to include decompression 

of Arnold Chiari malformation if present) 9 

- with operating microscope to N193 add 

Stereotaxis - intracranial (to include ventriculography) 11 

• with impUntatioB (and removal) of radioactive soarces into braia 
taaiour , add 



Intracranial implantation of chronic surface electrodes. 

Implantation or revision of stimulation pack or leads (peripheral nerve, brain, 

spinal cord) (I.O.P.) 

Removal of chronic surface or depth electrodes (LOP.) 
Burr hole plus needling of brain for biopsy (LOP.) 

Ventriculogram (including burr holes, air or positive contrast)(I.OJ'.) 

Ventricular fmncture through previous burr hole or fontanelle or puncture and/or 

aspiration of cistema magna (I.O.P.) 

Ventriculoscopy (to include burr hole) (LOP.) 

- with biopsy, yM 



11 



- with interventriculostomy, . 



.add 



- with removal of foreign body,.. 
External ventricular drainage (I.OP.). 



..add 



5 

Insertion of intracranial catheter or transducer for purposes of monitoring (I.OP.) .... 5 

Subsequent revisions or replacements within 30 days (I.O.P.) each 5 

Re-opening of craniotomy for post-<^rative haematoma or for removal of bone flap. 11 



959.40 
480.25 
194.00 
55335 
1301.70 
1513.70 
913 JO 
719J0 
867 JO 



7350 
28630 
119.60 
119.60 
119.60 
194.00 
286 JO 
194.00 
405.80 



15 

7 

11 
15 
15 
15 
15 
15 

15 



913 JO 
194.00 
1125.40 11 

200.90 
811.70 11 

276.85 
240.10 
267.40 7 
119.60 



307 



1162 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE NERVOUS SYSTEM 

Code A88t Sniy Anaes 

NlOO Hypothermia - when employed, basic imits for any procedure on nervous system 25 

Z811 Intravenous drug test for pain (I.O.P.) 48.40 4 

1. CRANIAL 

Intracranial duraplasty (greater than 2 cm. diameter) add to any intracranial 
E919 procedure 217.05 

Intraoperative, diagnostic or physiological monitoring for intracranial, spinal or 
peripheral nerve procedures, (e.g. stimulation with recording, evoked 
E920 potentials, ultrasound or impedance monitoring) 161.50 

Repeat cranial procedure, applies to any intracranial procedure, excluding those 
E921 covered by N127 194.00 

1. Brain 

Astrocytoma, oligodendroglioma, glioblastoma or metastatic tumour craniotomy 
plus excision 

N103 - supratentorial 11 

N151 - infratentorial 11 

N152 Craniotomy plus lobectomy 11 

E901 - with operating microscope, add 

Meningioma and other tumourous lesions, mcluding pituitary tumours craniotomy 
plus excision 

N102 - supratentorial 11 

N153 - infratentorial or basal 11 

E901 - with operating microscope, add 

E902 - lesion greater than 4 cm diameter, to N102, N153 add 

E903 - team fee for acoustic neuroma, same approach add 

Transsphenoidal microscopic approach to the pituitary fossa for 
Nlll hypophysectomy, removal of adenoma or other tumours 11 

Intracranial aneurysm repair 

N105 Carotid circulation - per vessel 11 

N154 Vertebrobasilar circulation (including aneurysm of vein of Galen) 11 

E901 - with operating microscope, add 

Cerebral arteriovenous malformation 
Craniotomy for obliteration and/or excision 

N106 - supratentorial 11 

N155 -infratentorial 11 

E901 - with operating microscope, add 

- removsd of intracerebral and/or subdural hematoma in conjunction with a 
ruptured intracranial aneurysm or arteriovenous malformation, to N105, 

E908 N106, N154, N155 add 

N107 Extracranial approach to include balloon catheter or embolization techniques 11 

Extracranial-intracranial microvascular anastomosis 

N218 Superficial temporal artery 11 

N156 Occipital artery 11 

E904 - posterior fossa, add 

E905 - use of graft (autogenous vessel or synthetic) add 



959.40 


15 


1107.10 


15 


1005.45 


15 


194.00 




1107.10 


15 


1439.90 


15 


194.00 




336.70 




553.55 




1107.10 


15 


1181.00 


15 


1227.00 


15 


194.00 




1181.00 


15 


1227.00 


15 


194.00 




207.70 




770.80 


15 


1061.05 


15 


1107.10 


15 


217.05 




194.00 





308 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1163 



OPERATIONS ON THE NERVOUS SYSTEM- Ciwt'ë. 

Cede CRANIAL • CwtU 

2. Craaio-Corcbral Iigaries 
U.V.C Non-opcrative care 



Asst — Swx ÀBafi& 



visitiee 



N139 
N140 
E912 

N143 
N144 

Note: 



N148 
N149 
N150 
N200 
Z8Q3 
Z814 



N258 
N2S9 
N26S 
N266 
E901 

N267 
N269 
ZS26 

Z827 



N220 
N223 



E923 
Z815 

Z8oe 
zao? 



N230 
N245 
Z801 



Reduction of skull fracture: 

Simple, depressed 

Compound. 



- with repair of durai laceration, add 

Extracerebral haematoma and/or hygroma: 

Drainage by burr hole(s) - unilateral 

Drainage and/or removal by craniotomy 

The OH IP Medical Consultant will be reaucsted to give professional assessment to 

claims with multiple procedures e^g. N144, N148 

Cerebral Injury 

Removal of intracerebral haematoma and/or debridement of traumatized 

brain (includes management of any skull fracture) 11 

Removal of foreign body from brain 11 

CSJF. leak - intracranial repair (to include transsphenoidal approach) 11 

Decompressive craniectomy (frontal, sub-temporal) 11 

Subdural tap<s) (I.O.P.) • unilateral . 
Diagnostic burr hole(s) (I.O.P.) - uni or bilateral. 



7 


336.70 


7 


11 


457.20 


11 




119ii0 


4 


7 


457.20 


7 


11 


719 JO 


11 



3. Craalal Ncrres 

Percutaneous coagulation or ^yceral injection of gasserian (trigeminal) gan^ion or 

root- unilateral 11 

V-Decompression or rhizotomy (partial or complete) trigeminal nerve 11 

Vn-Differential section facial nerve for hemi-facial spasm (extracranial approach) 6 

Anastomosis hypoglossal or accessory to facial nerve 6 

- with operating microscope add to N266, N267 

Occipital and/or suboccipital craniectomy for compression, decompression or section 

of cranial nerves 11 

XI-Dtvision of nerves to stemomastoid in neck , 6 

Inferior dental neurectomy (I.OJ*.) 3 

Infraorbital or supraorbital neurectomy (I.OP.) 3 



4. Carotid and Vertebral Arteries 

Carotid endarterectomy (with or without bypass and/or patch graft) 

Vertebral endarterectomy „ 

- intraoperative diagnostic or physiological monitoring (e.g. stimulation and 
recording, evoked potentials, cerebral blood flow determinations), add to 
N220,Z808 

Temporal artery, biopsy, ligation or cryosurgery (I.O.P.). 

Progressive carotid occlusion by Selverstone damp (I.OJ*.) . 

Removal of Selverstone clamp (I.OJ*.) 



5. CSF Shnnting Procedares 

CSF Shunting procedures - all types 

Revision of CSF shunt - operative - all types. 
- non-operative 



10 
10 



10 
10 



11 
7 



79420 
794.20 
959.40 
553J5 
47.85 
240.10 



36920 
434.10 
313.70 
50730 
194.00 



15 
15 
15 
11 



11 
11 
6 
6 



867J0 11 

263J0 6 

165.80 4 

142.70 4 



683.00 10 
719.50 10 



161J0 

96.60 4 

286J0 10 

240.10 10 



41520 

253.80 

36.70 



11 

7 



309 



1164 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



Code 



N174 
N246 
Z809 
N249 
Z821 



N161 
N201 
N202 
N203 
N206 
N207 
N162 
N163 

N164 
N165 
N166 
N167 
N168 
N169 
N208 
E922 



N211 
N212 
N213 
E901 



OPERATIONS ON THE NERVOUS SYSTEM- Cont'd. 

CRANIAL - Cont'd. Asst Unnf Anapc 

Conversion of shunt (e.g. ventriculoperitoneal to ventriculoatrial) 

- includes removal of existing shunt „ 7 37835 7 

Removal of shunt - any type 7 165.80 7 

Insertion of CSF reservoir (Ommaya) including burr holes (I.O.P.) 11 217.05 11 

Third ventriculostomy 11 590J0 11 

Injection of diagnostic or therapeutic agent into shunt apparatus(I.O.P.) 47.85 

6. Skull 

Repair of skull defect: 

Acrylic or metal cranioplasty 11 507.50 11 

Rib graft cranioplasty (defect less than 7.5 cm) 11 770.80 15 

Replacement of bone flap 11 434.10 11 

Skull tumour, excision 11 336.70 11 

Craniosynostosis, linear craniectomy: - one suture 11 388.00 11 

- multiple sutures 11 507.50 15 

Morcellation procedure - one suture 11 388.00 11 

- multiple sutures 11 553.55 15 

Lateral canthal advancement 

- unilateral - one surgeon 11 627.40 15 

- two surgeons - major portion 11 388.00 15 

- lesser portion 313.70 

- bilateral - one surgeon 11 857.70 15 

- two surgeons - major portion 11 553.55 15 

- lesser portion 415.40 

Craniotomy for craniofacial repair 11 959.40 15 

- with repair of frontonasal encephalocele, add 194.00 

7. Orbit 

Craniotomy plus removjil of orbital tumour 11 1005.45 15 

Craniotomy plus orbital decompression (roof of orbit with or without lateral wall) 11 941.90 15 

Craniotomy for decompression of optic nerve(s) 11 1005.45 15 

- with operating microscope, add to N211, N213 194.00 

II. SPINAL 



Intraoperative, diagnostic or physiological monitoring for intracranial, spinal or 
peripheral nerve procedures, (e.g. stimulation with recording, evoked potentials, 

E920 ultrasound or impedance monitoring) add 161J0 

E926 Spinal duroplasty (applies to any spinal procedure), add 217.90 

1. Tumours: 

N317 Extradural partial or total removal 8 794.20 

Removal by anterior or anterolateral cervical or thoracic approach 

N314 - one surgeon 9 1061.05 

M137 - two surgeons - thoracotomy 9 353.00 

N313 - excision 9 913.30 

N318 Intradural (extrameduUary) partial or total removal 8 1005.45 

E914 - three segments or more add 143.55 



10 

13 
13 
13 
10 



310 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1165 



Code 



N319 
N320 
E914 
E901 

N321 
E914 
E901 
Z800 



R451 

R457 
N185 



N337 
E565 
E566 
E914 
E915 
E913 

E927 



R447 
R4S2 



N182 
N186 



E928 
E907 



E929 



OPERATIONS ON THE NERVOUS SYSTEM • CantU 
SPINAL • CoatU 

Intramedullary: 

- biopsy and/or decompressioo 

- removal 



- three segments or more, add 

- with operating microscope (applies to intradural or intramedullary tumours), add 

A.-V. malformation of cord 

Excision or operative obliteration; with or without evacuation of haematoma 9 

• three segments or more, ~ add 

- with operating microscope, add 

2. Decompressive Procedures 

Applicable to all operative procedures for decompression of the spinal cord and/or 
nerve roots, whether traumatic or non-traumatic, with the exception of tumours and 
arterio-venous malformations and others separately listed. 

a. Posterior Spinal Decompressive Procedures 

Cervical hemilaminectomy for disc disease, with or without foraminotomy 6 

Lumbar hemilaminectomy for disc disease including removal of soft disc 

or osteophyte 6 

Posterior laminectomy one or two levels, cervical, thoracic, lumbar 6 

Repeat posterior exploration or reopening of posterior exploration, more than six 
months after original procedure, includes foraminotomy, discectomy or 
neurolysis 8 

- multiple levels, to R451, R457 only per additional level, add 

- bilateral, to R451, R457 add 

- laminectomy extending over 3 or more laminae, to N185, N337, add 

- foraminotomy, to R457 and N185 per foramen decompressed, add 

• with spinal cord injury, (when total care by operating surgeon), add 

- with irrigation, includes opening of dura, to fractures when combined with 
decompressive procedures, add 

b. Anterior, Anterolateral or Posterolateral Spiaal DecoBpresshc Proccdares 

Simple anterior cervical discectomy 8 

Simple anterior lumbar discectomy 6 

Anterior cervical spinal cord or nerve root decompression, including removal of 

disc or vertebral body, single disc level 8 

Anterolateral or posterolateral decompression, lumbar or thoracic spine, sin^ 

disc level 9 

For Thoracotomy or laparotomy by separate surgeon use M 137 (Spinal Timiours), 

S312 (Abdomen - Digestive System). 

- each additional disc level decompressed, to R447, R4S2, N182, N186, add 

Opening of dura (associated with any decompressive procedure) add 

3. Fosioos 

Anterior cervical interbody fusion by same surgeon, to R447, N182, per disc 

kvel,. „ add 



359.80 

1154.00 

143J5 

194.00 

1154.00 
143.55 
194.00 
194XW 



9 
12 



12 



519.60 


10 


379.60 


8 


549.10 


9 


592.10 


10 


65.40 




70.40 




143J5 




72.90 




141J0 





283.00 



361.80 


10 


445J0 


10 


549.10 


10 


983.20 


D 


237.00 




141.40 





73.90 



311 



1166 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE NERVOUS SYSTEM- CoatU 

Code SPINAL - Cont'd. Asst Sury \n»^n 

Fusion by same surgeon, to any procedure except anterior cervical interbody fusion 

E567 - one level, ^ add 221.00 

E568 - two or more levels, add 281.70 

R493 Fusion by different surgeon: - one level 282.60 

R494 - two or more levels 332J0 

E574 - repeat fusion, to any fusion, not to apply to N337, add 183.40 

E548 - with instrumentation, add 125.50 

4. Other Laminectomies (uni- or bilateral) 

Laminectomy for intradural neurolysis or unusual lesions e.g. diastematomyelia, 

N336 tethered conus, intramedullary hematoma, etc 7 720.30 8 

- laminectomy extending over 3 segments or more (applies to tethered conus, 
diastematomyelia extradural, intradural or intramedullary tumour, AVM, 

E914 or other decompressive laminectomy), add 143.55 

E901 - with operating microscope, add 194.00 

N323 Re-opening of laminectomy for post-operative hematoma or infection 7 336.70 8 

N192 Re-opening of laminectomy for repair of CSF leak 7 480.25 8 

N194 Syringo subarachnoid shunt 8 719.50 10 

N195 Terminal ventriculostomy 8 719.50 10 

N196 Syringopleural/syringoperitoneal shunt 9 840.30 12 

E901 - with operating microscope (add to N194-N1%) 194.00 

Implantation of permanent subcutaneous reservoir for the chronic delivery of 

N248 epidural or intrathecal medications to include laminectomy 11 378 J5 11 

5. Spinal Fractures 

Z236 Skull calipers (I.O.P.) 45.60 

Z241 Halo traction (LO.P.) 73.10 

Z246 Reapplication of Halo traction (I.O.P.) 45.60 

E562 - counter traction pins or vest, add 97.60 

F103 Closed reduction 5 184.20 5 

F105 Open reduction - posterior approach : 5 283.00 10 

F107 - anterior approach 7 332.90 10 

E913 - with spinal cord injury, (when total care by operating surgeon), add 141.50 

- with irrigation, includes opening of dura, to fractures when combined with 

E927 decompressive procedures, add 283.00 

E567 - fusion by same surgeon - one level, add 221.00 

E568 - multiple levels, add 281.70 

E929 - anterior cervical interbody fusion, per level, add 73.90 

R419 Fusion of Cl-2 8 505.00 10 

R493 Fusion by different surgeon - one level 282.60 

R494 - multiple levels 332.30 

E924 - anterior cervical interbody fusion, per level add 109.20 

E548 - with instrumentation, add 125.50 

6. Ablative and Stimulation Procedures 

N329 Percutaneous cordotomy or tractotomy 6 424.90 8 

Open myelotomy for lesion (e.g. tractotomy, midline commissurotomy, BischofTs 

N330 longitudinal myelotomy, etc.) uni- or bilateral 8 867.30 10 



312 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1167 



OPERATIONS ON THE NERVOUS SYSTEM • Coat'd. 
Code SPINAL -Coat'd. 



N341 
E901 

Z244 

Z823 
N324 

N332 
Note: 



N331 

N333 

Z810 
E909 

N340 
E910 
Z817 



N334 
N335 
N338 
N339 
N197 
E901 

N198 
N199 
ESU 



E906 



£920 



N188 
N285 



.Asst Suis ^aaa. 



MedoDaiy sçinài tngeminal tractotomy 

- with operating microscope, add 

Percutaneous diagnostic stimulation of brain or spinal cord or trigeminal nerve root 

and/or ganglion (I.O J*.) 

Implantation or revision of stimulation pack or leads (peripheral nerve, brain, 

spinal cord) (I.OJ*.) 

Imi^antation of spinal cord stimulating electrode by Uminectomy 

Removal of any stimulation pack or electrode,from peripheral nerve, brain or 

N324, Z244, N332, Z244 for 'multiple sclerosis' are not a benefit of CHIP except for 
relief of intractable pain. 

Spinal intradural anterior and/or posterior rhizotomy, unilateral or bilateral, 

any number of roots 

Dorsal root entry zone lesions for pain relief (any number of levels) 

- includes use of operating microscope 

Percutaneous vertebral facet denervation or intercostal neurectomy (I.OP.) 

- one level 



10 



each additional level, . 



.add 



Percutaneous radiofreqoeocy posterior rhizotomy for pain or spasticity 

- one or two roots 

- three or more roots, each additional, 

Lumbar subarachnoid drainage of CSF (chronic) (I.OP.) . 

7. Mcaiagocck and Mcaingoaydocele 

Repair of meningocele . 



.add 



Repair of meningomyelocele • one surgeon . 



™ 7 
.... 7 



- two surgeons • neurosurgeon 

- reconstructive surgeon 

Repair of lipomeningocele (to include release of tethered spinal cord) 7 

- with operating microscope (add to N197, N335 or N338) 

Repair of anterior sacral meningocele - posterior approach (to include release 

of tethered spinal cord) 7 

Repair of intraspinal meningocele (extradural cyst) 7 

Sp^al dnroptasty (applies to any spinal procedare), imM 



HL PERIPHERAL NERVES 

Add 40% of basic fee for neurolysis, tumour excision, nerve suture or graft when 
using operating microscope 

Intraoperative, diagnostic or physiological monitoring for intracranial, spinal or 

peripheral nerve procedures, (e.g. stimulation with recording, evoked potentials, 
ultrasound or impedance monitoring) 

Exploration, decompression, division, excision, biopsy, neurolysis, transposition 
(including tumour and neuroma) 

Minor nerve eg. digital or cutaneous 4 

Major nerve (except carpal tunnel or ulnar at elbow) 4 



913 JO 
194.00 



276.85 
521J0 

203.40 



161J0 



138.40 
230.70 



15 



295.70 8 



8 
10 



581.10 10 
922.90 10 

4 



124.70 
64.20 

244.40 
64.20 

73.50 



388.00 
526.40 
388X0 
313.70 
747.70 
194.00 



770.80 9 
770.80 9 
217.90 



8 



313 



1168 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON THE NERVOUS SYSTEM ■ Coot'd. 

Code PERIPHERAL NERVES - Cont'd. Asst Sury Anaes 

N282 Brachial plexus (excluding thoracic outlet syndrome or cervical rib) 6 535.00 6 

N177 Sciatic nerve in buttock 6 388.00 6 

N286 Tumour or neuroma - major nerve 5 286.30 4 

N289 Nerve suture - minor 4 165.80 4 

N287 - major 4 388.00 4 

N183 Nerve graft - minor 4 276.85 4 

N288 - major 4 553.55 4 

E899 - for each additional cable, add to N288 92.30 

E925 - add 30% to basic fee when repair delayed more than four weeks 

Z816 Implantation of electrode for peripheral nerve stimulation 3 217.05 4 

Implantation or revision of stimulation pack or leads (peripheral nerve, brain, 

Z823 spinal cord) (I.O.P.) 6 276.85 8 

N290 Carpal tunnel release 3 141.00 4 

N190 Ulnar nerve decompression, transposition at elbow 4 194.00 4 

Decompression, exploration for thoracic outlet syndrome including excision of 

N283 cervical and/or first rib and to include scalenotomy 6 350.20 6 

Excision of Morton's or subcutaneous neuroma, glomus or small cutaneous 

N295 nerve tumour 3 99.10 4 

£91 1 - implantation of neuroma into bone or muscle add 40% to N286, N295 

IV. AUTONOMIC NERVOUS SYSTEM 

Sympathectomy - unilateral 

N300 Cervical 6 313.70 6 

N301 Cervicodorsal 10 526.40 10 

N303 - thoracic approach 9 388.00 13 

N304 Lumbar 6 263.20 6 



314 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1169 



OPERATIONS ON ORGANS OF SPECIAL SENSES 

Code OPERATIONS ON THE EYE Asst 

Examination (when sole procedure) and unlisted minor procedures under 
Z8S0 general anaesthesia (I-O.P.) 

EYEBALL 
Excision 
E108 Enucleation, donor eye, post-mortem (one or both) 

Repair 

E104 Removal of intraocular foreign body 4 

E105 Non-magnetic - posterior segment 4 

E106 Penetrating wound - with prolapse of intraocular tissue 4 

E107 - without prolapse of intraocular tissue 4 

CORNEA 
Incision 

Z851 Paracentesis (I.O.P.) 

Removal embedded foreign body (I.O.P.) 

Z847 - local anaesthetic - one foreign body 

Z848 - two or more foreign bodies (see Preamble, paragraph B 32) 

Z8S2 -general anaesthetic 

Chelation of band keratopathy with EDTA (I.O.P.) 

Z849 -local anaesthetic 

Z863 - general anaesthetic 

Excision 

E206 Pterygixmi - simple (unilateral) 

E205 - with partial keratectomy 4 

E207 - with lamellar graft 4 

E937 - with autogenous conjunctival transplant, add 

E948 - with mucous membrane graft, add 

E117 Keratectomy 4 

E118 Excision of dermoid - with partial keratectomy 

E119 - with lamellar graft 4 

Z871 Cauterization of ulcer (I.O.P.) - local anaesthetic 

Z853 - general anaesthetic 

Replacement 

Corneal transplant 

E121 -penetrating 4 

E951 - with artificial prosthesis, add 

E122 -lamellar 4 

E123 Division of iris to cornea 

SCLERA 
Incision 

E127 Sclerotomy, posterior 

E128 Anterior chamber - open evacuation of clot 4 



Surg Aaass. 



86.60 4 



119.70 



378.00 6 

386.00 6 

280.70 6 

224.75 6 



47.65 



23.80 




I.e. 




6730 


4 


23.80 




67.30 


4 


126.00 


4 


280.70 


4 


411.80 


8 


73.50 




103.20 




280.70 


4 


280.70 


4 


411.80 


8 


23.80 




67.30 


4 


524.20 


8 


47.65 




411.80 


8 


146.90 


4 


15130 


4 


335.90 


6 



315 



1170 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



O. Reg. 94/89 



OPERATIONS ON ORGANS OF SPECIAL SENSES - Cont'd. 

Code IRIS AND CILIARY BODY Asst Sun. An»i.« 

E131 Laser iridotomy 4 146.90 4 

E134 Laser angle surgery 186.60 4 

E130 Iridectomy - surgical - when sole procedure 4 280.70 4 

E132 Glaucoma filtering procedures 4 337.10 6 

E136 - with intraocular implant of seton, add 67.50 

E133 Extraocular glaucoma procedures 4 166.40 4 

E135 Ciliary body re-attachment 4 460.60 8 

CRYSTALLINE LENS 
Incision 

E137 Needling (discission) - primary or subsequent 146.90 5 

E139 Capsuiotomy 4 146.90 4 

Excision 

Cataract (to include retrobulbar injection when administered by surgeon) 

E140 - all types of, by any procedure 4 374.50 8 

E141 - dislocated lens extraction 4 460.60 6 

E950 - insertion of intraocular lens, extra 93.70 

E138 Fixation of intraocular lens (McCannell suture procedure) 4 243.80 6 

- excision of secondary membrane with corneal section following cataract 

E143 extraction 4 239.45 6 

E144 Removal of intraocular lens 4 285.90 6 

E145 Repositioning surgical of dislocated intraocular lens 146.90 4 

E146 Insertion of secondary intraocular lens 4 280.70 8 

VITREOUS 

E148 Vitrectomy by infusion suction cutter technique 4 635.40 8 

E938 - with transscleral retinal suturing, add 194.60 

Vitreous aspiration, posterior with needle for cultive and/or injection of medication, 

E149 with or without cryopexy 4 165.60 5 

Anterior vitrectomy (planned) when done in conjunction with another intraocular 

E940 procedure, add 81.40 

Preretinal membrane peeling or segmentation to include posterior vitrectomy and 

E142 coagulation 4 711.60 8 

E936 Vitreous exchange (air, gas or artificial vitreous substance) • add to vitrectomy 55.60 

RETINA 

Re-attachment of retina and choroid by diathermy, photocoagulation or cryopexy 

E151 as an initial procedure 6 25730 6 

Scleral resection or buckling procedure - with or without diathermy, photocoagul- 

E152 ation or cryopexy, primary or subsequent procedure 6 598.80 6 

Secondary operation following unsuccessful operation or fresh detachment in the 
same eye by a different surgeon with or without diathermy, photocoagulation 

E153 or cryopexy 6 692.50 6 

E161 Removal of scleral implant 168.40 4 

E154 Photocoagulation (xenon, argon laser, etc.) - one eye 166.40 6 

E155 Cryopexy - extraocular or sub-conjunctival -one eye 166.40 6 



316 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1171 



Code 



E159 
E15t 

E162 
E949 

E952 



£164 



E102 
E103 
E171 
E941 
E181 
E166 
E167 
E172 
E168 
E165 
E169 
E170 



E160 
E163 
E176 
E177 
E937 
E178 
E179 
E180 



Z854 
Z8SS 



Z874 
Z856 
Z857 
Z8S8 



OPERATIONS ON ORGANS OF SPECIAL SENSES • CoatU 

EXTRAOCULAR MUSCLES Asst 

Repair 

Strabismus procedures 

- one muscle, one or bod» eyes 3 

- two muscles, one or both eyes 3 

- three or more muscles, one or both eyes 3 

- for adjustable suture, „ add 

Repeat strabismus procedure (more than two previous repairs by different 

surgeon), add 

ORBIT 
Incision 

Drainage of abscess 

Exdsioo 

Enucleation, with or without primary implant 4 

Evisceration, with or without primary implant „ 4 

Exenteration 4 

- with major plastic repair, add 

Secondary orbital implant 4 

Tumour or foreign body - anterior route 4 

- posterior exposiue 4 

Biopsy (anterior) 

Biopsy (posterior exposure) 

Lateral orbitotomy (Kronlem) 3 

Decompression - two walls 4 

- three walls 4 

Rcconstnictioa 

Dermis fat graft - immediately following enucleation ,. 

- delayed 4 

Fornix reconstruction 

- with mucous membrane graft 

- with autogenous conjunctival transplant, add 

Free mucous membrane graft - full thickness 

- split thickness 

Alloplastic volume replacement 

Repair - for E173 and E174 see Skull and Mandible - Musculoskeletal System. 

EYELIDS 
Incision 

Drainage of abscess (I.O.P.) - local anaesthetic 

- general anaesthetic 

Excision 

Chalazion - single or multiple (I.O.F.) - local anaesthetic 

- general anaesthetic 

Epilation - by hyfrecator, electrolysis (I.O.P.) 

-bycryopexy 



-Sua Aaaci 



239.45 

337.10 

37450 

74.65 

112.40 



180 JO 



239.45 


4 


239.45 


4 


270.00 


6 


270.00 




339.10 


4 


280.70 


6 


468.20 


6 


146.90 


4 


280.70 


4 


386.00 


6 


449.50 


6 


524.20 


6 


173.10 




468.60 


6 


224.75 


4 


292.70 


4 


73.50 




202J0 


4 


270.00 


4 


374.50 


4 



37 JO 




74.65 


4 


37 JO 




74.65 


4 


23.80 


4 


60.00 


4 



317 



1172 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON ORGANS OF SPECIAL SENSES - Cont'd. 

Code EYELIDS - Cont'd. Asst Sun, AnaP^ 

Verruca, papilloma, keratosis, etc. (I.O.P.) - see Skin and Subcutaneous Tissue 
- Inte^umentarv System also Lid Tumours including Xanthelasma or Unlisted 
Plastic Procedures. 

Suture 

E190 Tarsorrhaphy 

E191 Double adhesion 

Repair 

E192 Ptosis 4 

E193 - repeat or second repair 4 

E194 Distichiasis - unilateral 4 

E195 Trichiasis, repair by tarsal transplantation 4 

E196 Entropion, other than Zeigler puncture 4 

E945 - repeat by second surgeon, add 

E948 - with mucous membrane graft add 

E197 Ectropion, other than 2^igler puncture 4 

E945 - repeat by second surgeon, add 

- with skin graft, see Plastic Surgery Procedures - Integumentary System 

Z860 Zeigler punctures (for entropion/ectropion) (LO.P.) 

E199 Laceration, full thickness 

E198 - including lid margin 

E221 Laceration of eyelid including levator palpebrae superioris with ptosis 4 

Blepharoplasty - CHIP authorization necessary 

- excision of skin, with or without partial excision of the orbicularis oculi muscle 
E200 -one lid 75.40 

- same as E200 plus removal of orbital fat and/or lid fold reconstruction 

E201 -one lid 4 

E211 Lid lengthening procedure 4 

E953 - with scleral graft, add 

E222 Primary closure of full thickness lid defect 4 

E942 - with cantholysis, add 

E943 - with releasing rotation flap including cantholysis, add 

E223 Tarsoconjunctival flap and skin graft (Hughes) 4 

E224 - second stage 

E225 Lower or upper eyelid bridge flap 4 

E226 - second stage 

E227 Temporal rotation flap 4 

E944 - with free posterior lamellar graft, add 

E228 Free tarsal, sclerjil or cartilage graft with local skin mobilization 6 

E229 Free composite eyelid graft 6 

E230 Medial canthoplasty (skin and muscle) 4 

Medial canthal tendon 

E231 Tendon repair only 4 

E232 Fixation to bone 4 

E233 - when done in conjunction with another procedure 

Lateral canthal surgery 
E234 Canthotomy - not to be claimed with E140, E141 46.85 



101.30 


4 


146.90 


4 


284.70 


4 


357.40 


6 


220.00 


4 


220.00 


4 


239.45 


4 


47.65 




103.20 




239.45 


4 


47.65 




23.80 


4 


119.10 


4 


239.45 


4 


300.20 


4 



187.00 


4 


262.10 


4 


73.50 




243.80 


4 


48.40 




81.00 




440.80 


6 


98.50 


4 


440.80 


6 


98.50 


4 


468.60 


6 


158.80 




487.60 


8 


487.60 


8 


234 JO 


4 


243.80 


4 


374.90 


6 


D9.00 





318 



O. Reg. 94/89 



THE ONTARIO GAZETTE 
SURGICAL PROCEDURES 



1173 



Code 



OPERATIONS ON ORGANS OF SPECIAL SENSES • Coat'd. 
EYÉUDS • CoatU 



E23S Canthotysis - when primary procedure. 

E236 Lateral canthopcxy „... 

E930 - when done in conjunction with another procedure . 

CONJUNCTIVA 
U.V.C. Removal of foreign body 

Exdsioa 

E208 Peritomy (Gundersoa conjunctival flap) . 
Z861 Biopsy (I.OP.) 



.add 



Assk Suis àaa^ 

97.70 4 
185.00 4 
92.90 



E210 
E948 
E937 



ZS62 
Z917 



E215 



E216 

E217 
E218 
E939 

E954 

E219 



Z901 

Z902 
Z864 
ZMS 

Z918 



Repair 

Excision of conjunctival lesion 

- with mucous membrane graft. 

- with autogenous conjunctival transplant, ... 

LACRIMAI, TRACT 
Incisioa 

Dacryocystotomy - general anaesthetic (I.OP.) . 
Three "Snip" punctum procedure (I-O.P.) 

Exdsioa 

Dacryocystectomy 



add 
add 



Repair 

Lacerated canaliculus - immediate repair... 

- delayed repair 

Dacryocystorhinostomy 

- repeat procedure by second surgeon, _. 

- with lacrimal bypass procedure (e.g. Lester Jones) or canalicular 
reconstruction, 

Lacrimal bypass procedure (e.g. Lester Jones) 

- when sole procediu'c (both stages) 



MaaipuUtioo (I.O.P.) 

Irrigation of nasolacrimal system - unilateral or bilateral . 

Probing and dilation of duct, initial or repeat 

- local anaesthetic - unilateral 

- general anaesthetic - unilateral or bilateral . 

- with insertion of inlying tube or filament 

Re-insertion of Lester Jones tube 



.add 



visit.fee 



lOlJO 4 
23.80 4 



73 JO 

103.20 

73.50 



47.65 4 
59.60 4 



231.90 4 



4 193.00 4 

4 374J0 5 

. 5 386.00 5 

.add 79.40 



7330 
165J0 4 

19.10 

19.10 

73J0 4 
146.10 4 
47j65 



319 



1174 THE ONTARIO GAZETTE O. Reg. 94/89 

SURGICAL PROCEDURES 

OPERATIONS ON ORGANS OF SPECIAL SENSES - CoatU 
Code OPERATIONS ON THE EAR Aast Snry /^n Bffff 

Preamble: 

When debridement of ears under microscopy is carried out for access purposes only, 
no claim should be made for the debridement. If debridement of ears unoer 
microscopy is carried out because of pathology, a claim should be made for this 
service. 

EXTERNAL EAR 

Endoscopy 

U.V.C Removal of foreign body - simple 

Z866 - complicated - general anaesthetic (I.O.P.) 

E302 - requiring post auricular or endaural incisions 

E303 - from middle ear space 

Z906 Removîil of drainage tube(s) - general anaesthetic (I.O.P.) 

Debridement of mastoid cavities and/or repair of small perforation under microscopy 
but not for removal of cerumen for "access only" to the tympanic membrane 

Z907 (I.O.P.) 

Z908 - under general anaesthetic (I.O.P.) - when sole ear procedure performed 

Incision 

Z909 Biopsy, ear canal (I.O.P.) 

Z846 - general anaesthetic (if sole procedure performed) 

E317 Incision and drainage of extensive hematoma of pinna under general anaesthetic 

E305 Limited incision for perichondritis, removal of cartilage and drainage 

E306 Radical surgery for perichondritis 

Excision 

Z904 Local excision, polyp - office (I.O.P.) 

Z905 - hospital (I.O.P.) 

E300 Resection of pinna - with primary closure 

E301 - with local flap 

E311 Exostosis, simple endomeatal surgery and removal and drilling out of exostosis 

E312 - with multiple removal with necessary grafting 

E313 - post auricular approach 

Z903 Pre-auricular sinus (I.O.P.) 

E309 - requiring general anaesthetic 

Repair 

E307 Congenital defects - external - minor 5 

E308 - major 5 

E310 Otoplasty for correction of outstimding ears - unilateral 5 

E304 Total ear reconstruction with cartilage graft - (Brent technique) 4 

Note: E304, E307, E308 - Descriptive details of procedure (e.g. operative report) should 
be submitted with claims for professional assessment Tsee Surgical Preamble, 
paragraph 17). E310 - for patients 18 years of age or older, please see Appendix D, 
Sub-Surface Pathology, paragraph 1. 

E314 Meatoplasty or canalplasty for congenital malformation 5 270.80 5 

E955 - with grafting of canal, add 184 JO 1 

E956 - with tympanoplasty and/or ossiculoplasty, and/or mastoidectomy, add 364J0 2 



visit.fee 




46.30 


4 


184.30 


4 


184.30 


4 


32.40 


4 


24.00 




46.30 


4 


2330 




46.30 


4 


127.50 


4 


141.50 


4 


265.60 


5 


24.00 




46.30 


4 


157.25 


4 


225.40 


4 


180.00 


4 


225.40 


4 


270.80 


5 


30.20 




189.20 


5 


199.70 


5 


314.50 


5 


212.30 


5 


56435 


9 



320 



O. Reg. 94/89 



THE ONTARIO GAZETTE 

SURGICAL PROCEDURES 



1175 



Code 



Z910 
Z911 



Z912 
Z914 



E320 
E322 
E315 
E946 
E959 
E960 



E323 
E336 
E337 
E957 
E959 
E333 
E325 
E326 
E327 
E328 
E961 
E329 
E316 
E324 
E350 



E332 



E334 
E335 
E338 
E339 
E345 



OPERATIONS ON ORGANS OF SPECIAL SENSES • Coat'd. 
MIDDLE EAR 

Introductioa (I.O.P.) 

Eustachian catheterizatioo 

Unilateral - local anaesthetic 

Unilateral or bilateral - general anaesthetic 

LKisioa (LO.P.) 

Myringotomy, to include aspiration when indicated - unilater; 

• with insertion of ventilation tube using operating microscope • unilateral 

ExdsioB 

Mastoidectomy 

Cortical mastoidectomy, 

Modified or radical mastoidectomy.. 

Revision mastoidectomy with re>ision of middk ear .... 

- with mastoid cavity obliteration (E320, E322 or E315), add 

- with meatoplasty and/or canalplasty, add 

- with ossiculoplasty (E320, E322 or E315), add 

Repair 

Myringoplasty . 

Tympanoplasty - Type 1 (myringoplasty with exploration of middle ear) 

- with ossiculoplasty 

- with mastoidectomy, , aiW 

- with meatoplasty and/or canalplasty, add 

Ossiculoplasty 

Facial nerve décompression.. 

Facial nerve grafting (to include decompression) 

Closure of mastoid Fistula 

Tympanotomy ™ 

- with removal of middle ear tumour, add 

Tympanic neurectomy 

Tympanotomy with fistula repair 

Tympanotomy with insertion of 'permanent" ventilation tube 

Donor homograft - tympanic membrane, malleus and incus in continuity - unilateral „ 

INNER EAR 
iKisioa 

Labyrinthotomy or labyrinthectomy (including Fick procedure) 

Repair 

Stapes mobilization, unilateral 
Stapedectomy with prosthesis. 

Singular nerve section 

Endolymphatic shunt or sac decompression 
Temporal bone resection 





5.60 






32.40 


4 




38.20 


4 




71.60 


4 


4 


314J0 


6 


4 


467.40 


7 


4 


504.10 
97.00 
97.00 
77.75 


7 




190.40 


5 




314.50 


7 




427.20 


7 




12S.S0 






97.00 




4 


370.40 


7 


4 


585 JO 


9 


4 


899.80 


9 


4 


229.80 


4 




215.80 


4 




84.00 


2 




337.20 


6 




359.90 


6 




23830 


4 




124il5 





499.70 





337.20 


6 




499.70 


6 


4 


602.80 


9 


4 


602.80 


9 


4 


1125.40 


15 



321 



1176 O. Reg. 94/89 THE ONTARIO GAZETTE O. Reg. 95/89 

SURGICAL PROCEDURES 

OPERATIONS ON ORGANS OF SPECIAL SENSES • Cont'd. 
Code INNER EAR ■ Cont'd. Asst Sury Anafs 

Permanent Cochlear Prosthesis Insertion 

E340 Extra-cochlear (round window, middle ear) 7 504.10 9 

E341 Intra-cochlcar 7 671.80 9 

Bone Conduction Hearing Aid Insertion 

E346 • implantable, including necessary mastoidectomy 4 314 JO 6 

O. Reg. 94/89, s. 3. 
4. — (1) Schedule 16 to the said Regulator! is amended by revoking, 

6. Not applicable to items under anatomical pathology, histology and 
cytology sections. (Fee codes L701 to L731 inclusive, L800 to L846 or 
L900 to L944 inclusive.), 

on page 1165 under the heading "LABORATORY MEDICINE" and subheading "Patient 
Documentation and Specimen Collection Fee" and substituting therefor: 

6. Not applicable to items under anatomical pathology, histology and cytology sections. (Fee codes 
L701 to L731 inclusive, L800 to L848 or L900 to L944 inclusive.) 

(2) The said Schedule 16 is further amended by revoking, 
L532 Caffeine stimulation test 300, 



on page 1172 under the heading "LABORATORY MEDICINE" and subheading 
"Immunology" and substituting therefor: 

LS 32 Caffeine-halothane contracture test 300 

5. Section 4 shall be deemed to have come into force on the 10th day of February, 1989. 

6. A reference in section 4 to any page number is a reference to that page (foot pagination) 
in The Ontario Gazette dated the 19th day of May, 1984. 

10/89 

LABORATORY AND SPECIMEN 
COLLECTION CENTRE LICENSING ACT 

O. Reg. 95/89. 

Laboratories. 

Made— February 22nd, 1989. 

Filed— February 23rd, 1989. 



REGULATION TO AMEND 

REGULATION 845 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

LABORATORY AND SPECIMEN 

COLLECTION CENTRE LICENSING 

ACT 

1. Clause 1 (a) of Regulation 845 of 
Revised Regulations of Ontario, 1980, 
is revoked. 



2. The said Regulation is amended by 
adding thereto the following section: 

la. The following classes of tests are prescribed for 
the purposes of the Act and this Regulation: 

1. Bacteriology. 

2. Virology. 

3. Mycology. 

4. Parasitology. 

5. Serology. 

6. Serology HIV Antibody. 

7. Haematology. 

8. Chemistry. 
'9. Cvtolog\'. 

10. Radioisotopic assays. 

11. Pathology. 



322 



O. Reg. 95/89 



THE ONTARIO GAZETTE 



1177 



12. Iniinunohaematolog>'. 

13. Genetic cell culture. O. Reg. 95/89. s. 2. 

3. — (1) Subsection 2 (2) of the said Reg- 
ulation is revoked. 

(2) Subsections 2 (3) and (4) of the said 
Regulation, as remade by section 1 of 
Ontario Regulation 551/83. are 
revoked and the following substituted 
therefor: 

(3) The fee for a licence or renewal thereof is $575. 

(4) The fee for a pro\isional licence or renewal 

thereof is S285. O. Reg. 95/89. s. 3 (2). 

4. The said Regulation is further 
amended by adding thereto the fol- 
lowing section: 

2a. A licence or renewal thereof that is issued to 
establish, operate or mîdntain a laborator> b subject to 
the foUoift'ing conditions: 

1. That the operator and owner engage the ser- 
vices of a laboratory- director. 

2 . That the operator and owner only engage the 
ser\nces of a person as laboratory- director, 
laborator>' super\-isor. technical director, 
laboratory- technologist or laboratory- techni- 
cian who meets the qualifications prescribed 
by section 4 or who is otherwise exempted 
under section 5. 

3. That the management and operation of the 
laboratory' is at the address set out in the 
licence for the laborator>-. O. Reg. 95/89, 
s. 4. 

5. — (1) Subsection 4 (1) of the said Reg- 
ulation, exclusive of the clauses, is 
revoked and the follo\^'ing substituted 
therefor: 

(1) The qualifications for a laboratory director are 
that the person. 



(2) Subsection 4 (2) of the said Regulation, 
exclusive of the clauses, is revoked and 
the following substituted therefor: 

(2) The qualifications for a laboratory supervisor or 
technical director are that the person. 



uladon is revoked and the following 
substituted therefor: 

(i) has at least six years of relevant 
laborator>- experience approved by 
the Director, or 

(4) Subsection 4 (3) of the said Regulation, 
exclusive of the clauses, is revoked and 
the following substituted therefon 

(3) The qualifications for a laborator>- technologist 
are that the person. 



(3) Subclause 4 (2) (e) (i) of the said Reg- io/89 

323 



(5) Subsection 4 (4) of the said Regulation, 
exclusive of the clauses, is revoked and 
the following substituted therefor: 

(4) The qualifications for a laborator>- technician 
are that the person. 



6. Clauses 7 (a) and (c) of the said Regu- 
lation are revoked and the following 
substituted therefor: 

(a) examine specimens frova humans. 

(i) only at the request of a legally quali- 
fied medical practitioner or dentist, or 

(ii) at the request of an insurer or an agent 
within the meaning of the Insurance 
Act, in respect of HIV Antibody test- 
ing; 



(c) report an positive laboratory findings. 

(i) that indicate the presumptive pres- 
ence of any commimicable disease 
within the meaning of the Health 
Protection and Promotion Act, 1983 
to the medical officer of health in the 
area from which the specimen origi- 
nated within twent>--four hours after 
the test is conducted, and 

(ii) in respect of a reportable disease 
within the meaning of the Health 
Protection and Promotion Act, 1983 
to the medical officer of health in the 
area in which the laborator>- is located 
within twent>'-four hours after the test 
is conducted; 

7. Form 1 of the said Regulation is 
revoked. 



1178 



THE ONTARIO GAZETTE 



O. Reg. 96/89 



CREDIT UNIONS AND CAISSES 
POPULAIRES ACT 



96/89. 



O. Reg. 

General. 

Made — February 22nd, 1989. 

Filed— February 23rd, 1989. 



LOI SUR LES CAISSES POPULAIRES 
ET LES CREDIT UNIONS 

Règl. de l'Ont. 96/89. 
Dispositions générales, 
pris — le 22 février 1989. 
déposé — le 23 février 1989. 



REGULATION TO AMEND 

REGULATION 195 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

CREDIT UNIONS AND CAISSES 

POPULAIRES ACT 



REGLEMENT PORTANT 
MODIFICATION DU RÈGLEMENT 
195 DES RÈGLEMENTS REFONDUS 

DE L'ONTARIO DE 1980, PRIS EN 

APPLICATION DE LA LOI SUR LES 

CAISSES POPULAIRES ET LES 

CREDIT UNIONS 



1. The French text of Form 8 of Regula- 
tion 195 of Revised Regulations of 
Ontario, 1980 is revoked. 

2. The said Regulation is amended by 
adding thereto the following French 
version: 



1. Le texte français de la Formule 8 du 
Règlement 195 des Règlements refon- 
dus de l'Ontario de 1980 est abrogé. 

2. Le règlement est modifié par adjonc- 
tion de la version française suivante : 



DISPOSITIONS GENERALES 

1 La demande de constitution au moyen de statuts 
constitutifs est rédigée selon la formule 1. Règl. de 
l'Ont. 96/89, art. 2, en partie. 

2 Le certificat de constitution est rédigé selon la 
formule 2. Règl. de l'Ont. 96/89, art. 2, en partie. 

3 Le certificat de fusion est rédigé selon la formule 
3. Règl. de l'Ont. 96/89, art. 2, en partie. 

4 Les statuts modificatifs sont rédigés selon la for- 
mule 4. Règl. de l'Ont. 96/89, art. 2, en partie. 

5 Le certificat de modification est rédigé selon la 
formule S. Règl. de l'Ont. 96/89, art. 2, en partie. 

6 Les statuts mis à jour sont rédigés selon la for- 
mule 6. Règl. de l'Ont. 96/89, art. 2, en partie. 

7 Le certificat de constitution mis à jour est rédigé 
selon la formule 7. Règl. de l'Ont. 96/89, art. 2, en 
partie. 

7a La demande d'enregistrement extraprovincial 
que présente, en vertu de l'article 140 de la Loi, une 
caisse constituée sous l'autorité des lois d'une province 
ou d'un territoire du Canada est rédigée selon la for- 
mule 9. Règl. de l'Ont. 96/89, art. 2, en partie. 



8 Les droits fixés à l'Annexe sont payés au trésorier 
de l'Ontario. Règl. de l'Ont. 96/89, art. 2, en partie. 



9 La première assemblée est convoquée par la 
majorité des fondateurs au moyen d'un avis écrit 
envoyé par la poste à chaque fondateur au moins sept 
jours avant l'assemblée. L'avis doit indiquer la date, 
l'heure, le~ lieu et le but de l'assemblée. Règl. de 
l'Ont. 96/89, art. 2, en partie. 

10 Lors de la première assemblée : 

a) la majorité des fondateurs de la caisse consti- 
tue le quorum; 

b) les règlements administratifs sont adoptés et 
l'organisation de la caisse est achevée. 
Règl. de l'Ont. 96/89, art. 2, en partie. 



ETATS FINANCIERS 

II (1) Les états financiers visés à l'alinéa 71 (2) a) 
de la loi comprennent les pièces suivantes : 

a) le bilan à la clôture de la période; 

b) un exposé des activités au cours de la 
période; 

c) un état des bénéfices non répartis au cours de 
la période; 

d) un état de chacune des réserves au cours de 
la période. 



324 



O. Reg. %/89 



THE ONTARIO GAZETTE 



1179 



(2) B n'est pas nécessaire que ces états ou exposés 
portent ces désignations. Rè^. de l'Ont. %/89, 
irt. 2. en partie. 

12 Le bilan présenté à l'assemblée annuelle est 
dressé de façon à refléter fidèlement la situation finan- 
cière de la caisse à la date à laquelle il est établi et à 
distinguer, soit dans le bilan lui-même, soit par un 
renvoi, au moins : 

a) l'encaisse, y compris l'argent comptant, les 
dépôts venant à échéance ou remtx)ursables 
dans les quatre-\-ingt-dix jours, et les rete- 
nues à recevoir sur les feuilles de paie qui ont 
été faites et qui sont en cours de versement; 

b) les créances exigibles, notamment les intérêts 
courus à recevoir; 

c) les valeurs mobilières, en indiquant séparé- 
ment au moins : 

(i) les obligations, debentures et autres 
titres émis ou garantis par le gouver- 
nement du Canada ou d'une pro- 
vince, 

(ii) les obligations, debentures et les 
valeurs mobilières qui ne sont pas 
visées au sous-alinéa (i) et qui ne sont 
pas en défaut, 

(iii) les actions de personnes nooraks, 
autres qu'une fédération, 

(iv) les parts sociales d'une fédération, 

en précisant, pour chaque catégorie, la base 
d'évaluation et la valeur marchande globale; 

d) les montants exigibles en remboursement des 
prêts consentis aux sociétaires et garantis par 
une première h>'pothèque sur un bien 
immeuble; 

e) les montants exigibles en remboursement de 
prêts consentis à des personnes morales et à 
des sociétés en nom collectif; 

f) les montants exigibles en remboursement de 
prêts aux sociétaires qui ne sont pas visés aux 
alinéas d) et e); 

g) les réserves pour prêts douteux; 

h) les terrains, les bâtiments, le matériel et les 
améliorations aux propriétés cédées à bail en 
indiquant dans chaque cas la base de l'éva- 
luation, selon le coût ou autrement; si l'éva- 
luation est basée sur une expertise, la date de 
l'expertise, le nom de l'évaluateur, la base de 
son évaluation; si l'expertise a eu lieu dans 
les cinq années qui précèdent la date à 
laquelle le bilan a été établi, le traitement 
comptable dans les liN-res de la caisse des ren- 
trées et des sorties à la suite de l'expertise; 



i) les réserves accumulées au titre de la dépré- 
ciation des bâtiments et du matériel et les 
amortissements accumulés; 

j) les cotisations déposées à la Société onta- 
rienne d'assurance des actions et dépôts, en 
indiquant la base d'évaluation, à l'exception 
des cotisations visées au paragraphe 111 (4) 
de la Loi; 

k) la responsabilité envers les sociétaires à l'é- 
gard des dépôts susceptibles d'être retirés au 
moyen d'effets de caisse négociables; 

1) la responsabilité envers les sociétaires à l'é- 
gard des dépôts qui ne sont pas visés à l'ali- 
néa k); 

m) les intérêts courus sur les dépôts des sociétai- 
res et qui leur sont pa>-ables; 

n) les dividendes et les remises d'intérêt décla- 
rées mais non versées; 

o) ks prêts et les découverts des fédérations; 

p) les prêts et ks découverts des banques; 

q) l'impôt sur k revenu à payer; 

r) les cotisations non versées à la Société onta- 
rienne d'assurances des actions et dépôts aux 
termes du paragraphe 111 (4) de la Loi; 

s) les comptes à pa>-er et les dettes courues qui 
ne sont pas visés aux alinéas k) à r); 

t) les titres de créance à long terme de la caisse, 
en distinguant ceux garantis par les bkns 
immeubles de la caisse, et les autres, et en 
précisant, dans chaque cas, le taux d'intérêt, 
les conditions de remboursement et la date 
d'échéance; 

u) l'impôt sur k revenu différé; 

y) k capital social des sociétaires; 

w) les bénéfices non répartis; 

x) les réserves, avec leur affectation. Rè^. de 
l'Ont. 96/89, art. 2, en partie. 

13 L'exposé des activités qui doit être présenté à 
l'assemblée armuelle est dressé de façon à refléter fidè- 
lement les résultats des activités de la caisse pendant la 
période visée et distingue, soit dans l'exposé lui-naême, 
soit par un renvoi, au moins : 

a) le revenu provenant des intérêts sur les prêts 
en première hj-pothèque; 



b) k revenu provenant des intérêts sur les prêts 
qui ne sont pas visés à l'alinéa a); 



325 



1180 



THE ONTARIO GAZETTE 



O. Reg. 96/89 



c) le revenu des dépôts auprès de la Société 
ontarienne d'assurance des actions et dépôts; 

d) le revenu provenant des placements qui ne 
sont pas visés aux alinéas a), b) et c); 

e) les intérêts débiteurs sur les dépôts de socié- 
taires; 

f) les intérêts débiteurs sur les prêts et les 
découverts des banques et des fédérations; 

g) les intérêts débiteurs sur les titres de créance 
émis, à l'origine, j)Our une durée de cinq 
années ou moins; 

h) les intérêts débiteurs sur les titres de créance 
qui ne sont pas visés aux alinéas f) et g), y 
compris ceux que garantissent des biens 
immeubles; 

i) les réserves pour prêts douteux; 

j) les salaires et les avantages sociaux du per- 
sonnel; 

k) la rémunération des administrateurs et des 
membres élus des comités; 

1) les réserves au titre de la dépréciation de l'ac- 
tif immobilisé et l'amortissement des amélio- 
rations aux propriétés cédées à bail; 

m) le coût de location des bureaux; 

n) les primes nettes de l'assurance-vie se rap- 
portant au capital social des sociétaires, à 
leurs dépôts et à leurs emprunts; 

o) les bénéfices ou les pertes qui résultent de la 
vente de valeurs mobilières conservées à titre 
de placement; 

p) les frais d'exploitation qui ne sont pas visés 
aux alinéas e) à o); 

q) le revenu ou la jjerte nets pour la période 
visée avant déduction de l'impôt sur le 
revenu et des éléments figurant à la rubrique 
des postes extraordinaires; 

r) les impôts sur le revenu fixés par toute admi- 
nistration fiscale; 

s) les éléments figurant à la rubrique des postes 
extraordinaires nets de l'impôt sur le revenu 
applicable, dont le montant doit être divul- 
gué; 

t) le revenu ou la perte nets pour la période 
visée. Régi, de l'Ont. 96/89, art. 2, en 
partie. 

14 L'état des bénéfices non répartis qui doit être 
présenté à l'assemblée annuelle est dressé de façon à 



distinguer, soit dans l'état lui-même, soit par un ren- 
voi, au moins : 

a) le solde des bénéfices non répartis à la fin de 
la période comptable précédente; 

b) les rentrées et les sorties du compte des 
bénéfices non répartis au cours de la période 
comptable, y compris : 

(i) la répartition de dividendes, de pri- 
mes sur les intérêts et des remises d'in- 
térêt aux sociétaires à l'égard des 
périodes comptables précédentes, 

(ii) le revenu ou la perte nets pour la 
période comptable courante, 

(iii) les montants virés à chaque réserve, 
ou de celle-ci, 

(iv) la répartition de dividendes, de pri- 
mes sur les intérêts et de remises d'in- 
térêt aux sociétaires à l'égard de la 
période comptable courante; 

c) le solde des bénéfices non répartis à la fin de 
la période comptable courante. Règl. de 
l'Ont. 96/89, art. 2, enpaHie. 

15 L'état de chacune des réserves qui doit être 
présenté à l'assemblée annuelle est dressé de façon à 
distinguer, soit dans l'état lui-même, soit par un ren- 
voi, au moins : 

a) le solde de la réserve à la fin de la période 
comptable précédente; 

b) les montants virés au compte des bénéfices 
non répartis, ou de celui-ci pendant la 
période comptable; 

c) le solde de la réserve à la fin de la période 
comptable courante. Règl. de l'Ont. 96/89, 
art. 2, en partie. 

16 (1) H n'est pas nécessaire que les rubriques 
visées aux articles 12 à 15 portent ces désignations 
dans les états financiers. 

(2) Dans un état financier, le terme «réserve» doit 
désigner seulement les trois sortes suivantes de 
montants : 

a) les montants prélevés sur les bénéfices non 
répartis, à la discrétion de la direction, pour 
diverses fins sauf pour satisfaire à une obli- 
gation ou faire face à une éventualité, con- 
nues ou reconnues, ou resp)ecter un engage- 
ment conclu à la date de l'état financier, ou 
pour parer à une diminution déjà survenue 
de la valeur d'un élément de l'actif; 

b) les montants prélevés sur les bénéfices non 
répartis, conformément au paragraphe 94 (2) 



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O. Reg. 96/89 



THE ONTARIO GAZETTE 



1181 



de la Loi ou aux règlements administratifs de 
la caisse, pour diverses fins sauf pour satis- 
faire à une obligation ou faire face à une 
éventualité, connues ou reconnues, ou res- 
pecter un engagement conclu à la date de 
l'état financier, ou pour parer à une diminu- 
tion déjà survenue de la valeur d'un élément 
de l'actif; 

c) les montants prélevés sur les bénéfices non 
répartis conformément aux termes d'un con- 
trat et qui peuvent être restitués à ce compte 
lorsque les conditions du contrat sont 
remplies. Règl. de l'Ont. 96/89, ait. 2, en 
partie. 

17 Les renvois que comprennent les états finan- 
ciers précisent les changements aux principes ou aux 
méthodes comptables ou à la façon de les appliquer 
qui ont été apportés au cours de la période visée par 
les états et qui influent sur les moyens de comparer les 
états avec ceux de la période précédente, et les consé- 
quences de ces changements sur le revenu net pour la 
période visée. Règl. de l'Ont. 96/89, art. 2, en partie. 

18 Les éléments suivants figurent dans les états 
financiers ou y font l'objet d'un renvoi : 

a) une liste des opérations effectuées dans le 
compte de réserve pour prêts douteux pour la 
période, qui indique le solde à la fin de la 
période précédente, les rentrées et les sorties 
pendant la période, et le solde à la fin de la 
période courante; 

b) un énoncé de principe relatif aux taux d'in- 
térêt et aux conditions de remboursement des 
prêts consentis aux sociétaires sous forme de 
première hypothèque sur des biens immeu- 
bles; 

c) les montants des engagements à faire des 
avances sur les prêts personnels et sur les 
prêts garantis par une première hypothèque 
sur des biens immeubles; 

d) les obUgations contractuelles qui nécessitent 
des dépenses inhabituelles par rapport aux 
besoins normaux de la caisse dans le cours de 
ses affaires ou par rapport à sa situation 
financière; 

e) les obligations contractuelles découlant de 
baux à long terme; 

f) les éléments de passif éventuels, avec indica- 
tion de leur nature et, si possible, des mon- 
tants approximatifs qu'ils représentent; 



g) les restrictions apportées au paiement de 
dividendes; 

h) toute circonstance ou opération, autre que 
celles qui font partie du cours normal des 
affaires, qui n'apparaît pas aux états finan- 
ciers, survenue entre la date à laquelle ceux- 
ci ont été établis et la date du rapport des 
vérificateurs ou la date du rapport du comité 
de surveillance, s'il n'y a pas de vérificateur; 

i) le montant de toute obligation au titre de 
prestations de rente pour des services rendus 
avant la date de clôture de l'exercice, que 
cette obligation ait été prévue ou non dans 
les comptes de la caisse, la façon dont la 
caisse se propose de s'acquitter de cette obli- 
gation et la base sur laquelle elle s'appuie ou 
propose de s'appuyer pour imputer à ses 
opérations les frais qui s'y rapportent. 
Règl. de l'Ont. 96/89, art. 2, en partie. 

19 Malgré les articles 12 à 18, il n'est pas néces- 
saire d'exposer dans les états financiers les éléments 
qui, compte tenu de la situation globale, ont relative- 
ment peu d'importance. Règl. de l'Ont. 96/89, art. 2, 
en partie. 

DISPOSITIONS DIVERSES 

20 Les droits fixés par les règlements administra- 
tifs de la caisse, aux termes de l'article 19 de la Loi, 
pour obtenir une copie de ceux-ci, ne dépassent pas 
5 $. Règl. de l'Ont. 96/89, art. 2, en partie. 

21 Les montants que la caisse peut payer aux ter- 
mes du paragraphe 37 (1) de la Loi sont les suivants : 

a) en vertu de l'alinéa a) de ce paragraphe, 
5 000$; 

b) en vertu de l'alinéa b) de ce paragraphe, 
5 000 S. Règl. de l'Ont. 96/89, art. 2, en 
partie. 

22 Les prêts consentis à des personnes morales ou 
à des sociétés en nom collectif qui sont sociétaires de la 
caisse sont pleinement garantis par une hypothèque, 
une charge ou un nantissement sur un bien meuble ou 
immeuble. Règl. de l'Ont. 96/89, art. 2, en partie. 

23 Le certificat d'assurance-dépôt délivré à la 
CEiisse aux termes du paragraphe 109 (3) de la Loi est 
rédigé selon la formule 8. Rè^. de l'Ont. 96/89, 
art. 2, en partie. 

24 Pour l'application de l'alinéa 83 b) de la Loi, le 
délai maximal de remboursement est de trente ans. 
Rè^. de l'Ont. 96/89, art. 2, en partie. 



327 



1182 THE ONTARIO GAZETTE O. Reg. 96/89 

Annexe 

DROITS 

1. Dépôt des Statuts constitutifs et délivrance du certificat 100 $ 

2 . Dépôt d'une entente de fusion et délivrance du certificat 250 

3. Dépôt des statuts mis à jour et délivrance du certificat 125 

4. Dépôt des statuts modificatifs et délivrance du certificat : 

a) aux fins de modifier la dénomination de la caisse ou credit Mnion 100 

b) pour toute autre raison 125 

5. Demande d'un arrêté de dissolution en vertu du paragraphe 120 (17) de la Loi 100 

6. Dépôt d'une demande d'enregistrement extraprovincial en vertu de l'article 140 de la Loi .... 350 

7. Dépôt d'une modification à un règlement administratif en vue d'établir ou de redéfinir l'ad- 
missibilité en ce qui concerne l'adhésion à la caisse ou à la credit union par le moyen notam- 
ment de liens communs d'association 500 

8. Copies de documents dont le ministère a la garde aux termes de la Loi : 

a) copies de documents, statuts constitutifs, règlements administratifs et ordonnances : 
0,50 $ la page avec un droit minimal de 2 $ en ce qui concerne chaque caisse ou 
credit union; 

b) attestation de copies de documents, statuts constitutifs, règlements administratifs et 
ordonnances : 10 $ en ce qui concerne chaque caisse ou credit union. 

Règl. de l'Ont. 96/89, art. 2, en partie. 

Formule 1 

Loi sur les caisses populaires et les credit unions 
STATUTS CONSTITUTIFS 
1 . Dénomination de la caisse populaire ou credit union : 



2. Emplacement du siège social : 

(stalat de la municipalité) 

de dans le 

(nom de la municipalité) (comté ou district) 



de 

(nom du comté ou district) 

3. Adresse du siège social : 

(n° et rue ou route rurale et n° du bureau dans le cas d'un immeuble à bureaux) 

(nom de la municipalité ou du bureau de poste) 

4. Nombre d'administrateurs : 

328 



O. Reg. 96/89 THE ONTARIO GAZETTE 1183 

5 . Nom des premiers administrateurs : 

Adresse personnelle (indiquer le n° et la rue ou 
la route nuale et la municipalité ou 
Nom et prénoms le bureau de poste) 



6. Les objets pour lesquels 

(dénomination de la caisse populaire ou credit union) 

est constituée sont les suivants : favoriser le mouvement coopératif, faciliter l'épargne, créer une source de 
crédit à l'intention des sociétaires à des taux d'intérêt raisonnables et leur offrir une gamme complète de 
services financiers. 

(Préciser les pouvoirs énumérés au paragraphe 11 (2) de la Loi qui ne s'appliquent pas ou qui s'appliquent 
d'une façon limitée et donner les détails de toute limitation.) 

7. Nom et adresse personnelle des fondateurs : 

Adresse personnelle (indiquer le n° et la rue ou 
la route rurale et la municipalité ou 
Nom et prénoms le bureau de poste) 



Les présents statuts sont faits en double exemplaire pour être remis au ministre. 

SIGNATURE DES FONT)ATEURS 

AFFIDAVIT 

PROVINCE DE L'ONTARIO EN CE QUI CONCEIOsE LA LOI SUR LES CAISSES 

POPULAIRES ET LES CREDIT UNIONS 
DE ET LES STATUTS CONSTITUTIFS DE 



À savoir: 

(dénomination de la caisse populaire ou credit union) 



Je soussigDé(e), du/de la 

(nom et prénoms du/de la déclarant(e)) (statut de la mimicipalité) 



de situé(e) dans le 

(nom de la municipalité) (comté ou district) 



de dans la province de 

(nom du comté ou district) (nom de la province) 

déclare sous serment que : 

1. Je suis 

de 

et, à ce titre, j'ai une connaissance directe de ce qui suit. 

329 



1184 THE ONTARIO GAZETTE O. Reg. 96/89 

2 . Les fondateurs dont la signature apparaît en double exemplaire sur les statuts constitutifs ci-joints et les 
premiers administrateurs qui y sont désignés sont âgés d'au moins dîx-huit ans. 

3. Les signatures des fondateurs apposées aux statuts constitutifs sont authentiques. 

DÉCLARÉ sous SERMENT à/au 

de dans le/la 



.de. 



le 19.... 

(signature du commissaire, notaire, etc.) 



(signature du/de la déclarant(e)) 



Règl. de l'Ont. 96/89, art. 2, en partie. 



Formule 2 

Loi sur les caisses populaires et les credit unions 

CERTIFICAT DE CONSTITUTION 

Attendu qu'une demande de constitution en vertu de la Loi sur les caisses populaires et les credit unions a été 
présentée, au moyen de statuts constitutifs, au ministre de la Consommation et du Commerce dans la forme pres- 
crite et a été signée par les personnes nommées ci-dessous : 

Et attendu que ces personnes ont rempli les conditions préalables à la délivrance du certificat demandé; 

Par ces motifs, dans l'exercice des pouvoirs que me confère la Loi, je délivre le présent certificat de constitution. 

Les personnes suivantes : 

sont constituées en personne morale sous la dénomination de 

Signé à Toronto le 19.... 

Le ministre de la Consommation et du Commerce 
Règl. de l'Ont. 96/89, art. 2, en partie. 

Formule 3 

Loi sur les caisses populaires et les credit unions 

CERTIFICAT DE FUSION 

Attendu qu'une demande de certificat de fusion en vertu de la Loi sur les caisses populaires et les credit unions 
a été présentée au ministre de la Consommation et du Commerce par les parties à une entente de fusion conclue 
le 19 

entre 

(dénomination de la caisse populaire ou credit union) 

et 

(dénomination de la caisse populaire ou credit union) 

Attendu que les parties à l'entente de fusion ont rempli les conditions préalables à la délivrance du certificat 
demandé; 

330 



O. Reg. %/89 



THE ONTARIO GAZETTE 



1185 



Et attendu que l'entente de fusion prévoit que les parties fusionneront et poursuivront leurs activités sous la 

dénomination de 

(dénomination de la caisse populaire ou credit union résultant de la fusion) 

et que les premiers administrateurs de cette nouvelle caisse ou credit union seront : 



Nom et prénoms 



Adresse personnelle (indiquer le n° et la rue ou 

la route rurale et la municipalité ou 

le bureau de poste) 



Par ces motifs, dans l'exercice des pouvoirs que me confère la Loi, je délivre le présent certificat de fusion. 
Signé à Toronto le 19 

Le ministre de la Consommation et du Commerce 
Rè^. de l'Ont. %/89, art 2, <m partie. 

Formule 4 

Loi sur les caisses populaires et les credit unions 

STATUTS MODIFICATIFS 

DE 



constituée le . 



(dénomination de la caisse populaire ou credit union) 



(date de la constitution) 
1. Ci-indus une copie certifiée conforme de la résolution spéciale qui modifie les statuts constitutifs de. 



(dénomination de la caisse populaire ou credit union) 

2. La résolution spéciale a été dûment confirmée par au moins deux tiers des voix exprimées lors d'une 
assemblée générale des sociétaires de la caisse dûment convoquée à cette fin et tenue le 19. . . 

3. Toutes les autres autorisations exigées par les règlements jidministratifis ont été obtenues. 

4. Les présents statuts sont faits en double exemplaire pour être remis au ministre. 

Certifié 



PAR: 



(dénomination de la caisse populaire ou credit union) 
(signature) (fonction) 



(sceau) 



(signature) 



(fonction) 



331 



1186 THE ONTARIO GAZETTE O. Reg. 96/89 

AFFIDAVIT 

PROVINCE DE L'ONTARIO EN CE QUI CONCERNE LA LOI S UR LES CAISSES 

POPULAIRES ET LES CREDIT UNIONS 
DE ET LES STATUTS MODIFICATIFS DE 

À savoir: 

(dénomination de la caisse populaire ou credit union) 

Je soussigné(e) , du/de la 

(nom et prénoms du/de la déclarant(e)) (statut de la municipalité) 

de situé(e) dans le 

(nom de la municipalité) (comté ou district) 

de dans la province de 



(nom de la province) 



déclare sous serment que : 
1. Jesuis 



(fonction) 
de 



(dénomination de la caisse populaire ou credit union) 

et, à ce titre, j'ai une connaissance directe de ce qui suit. 

2 . Les déclarations contenues dans les statuts modificatifs ci- joints sont exactes. 

3 

(dénomination de la caisse populaire ou credit union) 

s'est conformée aux exigences de la Loi sur les caisses populaires et les credit unions et a rempli les con- 
ditions prévues aux statuts constitutifs et aux règlements administratifs. 

DÉCLARÉ SOUS SERMENT à/aU 

de dans le/la 

de 



(signature du/de la déclarant(e)) 

le 19.... 

(signature du commissaire, notaire, etc.) 

Règl. de l'Ont. 96/89, art. 2, en partie. 

Formule 5 

Loi sur les caisses populaires et les credit unions 

CERTIFICAT DE MODIFICATION 

Attendu qu'une demande de statuts modifîcatifs en vertu de la Loi sur les caisses populaires et les credit uniotis 
a été présentée au ministre de la Consommation et du Commerce, dans la forme prescrite, par 

(dénomination de la caisse populaire ou credit union) 

Et attendu que toutes les conditions préalables à la délivrance des statuts modificatifs demandés ont été rem- 
plies; 

332 



O. Reg. 96/89 THE ONTARIO GAZETTE 1187 

Par ces motifs, dans l'exercice des pouvoirs que me confère la Loi, je délivre le présent certificat de modification. 

Signé à Toronto le 19 

Le ministre de la Consommation et du Commerce 

Règl. de l'Ont. 96/89, art. 2, en partie. 

Formule 6 

Loi sur les caisses populaires et les credit unions 

STATUTS MIS À JOUR 

DE 

(dénomination de la caisse populaire ou credit union) 

constituée le 

(date de la constitution) 

1. Les présents statuts mis à jour reproduisent correctement et sans changement les dispositions corres- 
pondantes des statuts constitutifs initiaux tek qu'ils sont modifiés jusqu'à présent. 

2. Emplacement du siège social : 

(statut de la municipalité) 



de dans le 

(nom de la municipalité) (comté ou district) 



I 



de 

(nom du comté ou district) 

3. Adresse du siège social : 

(n° et rue ou route rurale et n° du bureau dans le cas d'un immeuble à bureaux) 

(nom de la municipalité ou du bureau de poste) 

4. Nombre d'administrateurs : 

5. Les objets pour lesquels 

(dénomination de la caisse populaire ou credit union) 

est constituée sont les suivants : favoriser le mouvement coopératif, faciliter l'épargne, créer une source 
de crédit à l'intention des sociétaires à des taux d'intérêt raisonnables et leur offiir une gamme complète 
de services financiers. 

(Préciser les pouvoirs énumérés au paragraphe 11 (2) de la Loi qui ne s'appliquent pas ou qui s'appli- 
quent d'ime façon limitée et donner les détails de toute limitation.) 

Les présents statuts sont faits en double exemplaire pour être remis au ministre. 

(dénomination de la caisse populaire ou credit union) 
Certifié 

PAR: 



(sceau) 

333 



(signature) (fonction) 

(signature) (fonction) 



1188 



THE ONTARIO GAZETTE 

AFFIDAVIT 



O. Reg. 96/89 



PROVINCE DE L'ONTARIO 

DE 



EN CE QUI CONCERNE LA LOI SUR LES CAISSES 

POPULAIRES ET LES CREDIT UNIONS 

ET LES STATUTS MIS À JOUR DE 



À SAVOIR : 



Je soussigné(e), du/de la 

(nom et prénoms du/de la déclarante)) 



de situé(e) dans le 

(nom de la municipalité) 



de dans la province de 

(nom du comté ou district) 

déclare sous serment que : 

1. Je suis 



(dénomination de la caisse populaire ou credit union) 
(statut de la municipalité) 
(comté ou district) 
(nom de la province) 



(fonction) 



de. 



(dénomination de la caisse populaire ou credit union) 
et, à ce titre, j'ai une connaissance directe de ce qui suit. 
2 . Les déclarations contenues dans les statuts mis à jour ci-joints sont exactes. 



(dénomination de la caisse populaire ou credit union) 

s'est conformée aux exigences de la Loi sur les caisses populaires et les credit unions et a rempli les con- 
ditions prévues aux statuts constitutifs et aux règlements administratifs. 



DÉCLARÉ sous SERMENT èJSM 

de dans le/la 

de 

le 19.... 

(signature du commissaire, notaire, etc.) 



I 



(signature du/de la déclarant(e)) 



sont assurés en vertu de la Loi sur les caisses populaires et les credit unions dans la mesure prescrite et prévue 
par cette loi. 



Faitce jourde 



.,19.. 



Président du conseil 

Règl. de l'Ont. 96/89, art. 2, en partie. 



334 



O. Reg. 96/89 THE ONTARIO GAZETTE 1189 

Formule 7 

Loi sur les caisses populaires et les credit unions 

CERTIFICAT DE MISE À JOUR 

Attendu qu'une demande de mise à jour des statuts constitutifs, en vertu de la Loi sur les caisses populaires et 
les credit unions, a été présentée au ministre de la Consommation et du Commerce, dans la forme prescrite, par 

(dénomination de la caisse populaire ou credit union) 

Et attendu que toutes les conditions préalables à la délivrance du certificat demandé ont été remplies; 

Par ces motifs, dans l'exercice des pouvoirs que me confère la Loi, je délivre le présent certificat de mise à jour. 

Signé à Toronto le 19 

Le ministre de la Consommation et du Commerce 
Règl. de l'Ont. 96/89, art. 2, en partie. 

Formule 8 

Loi sur les caisses populaires et les credit unions 

LA SOCIÉTÉ ONT ARIENNE D'ASSURANCE DES ACTIONS ET DÉPÔTS 

CERTIFICAT D'ASSURANCE-DÉPÔTS 

N° 
La Société ontarienne d'assurance des actions et dépôts atteste par les présentes que les dépôts de 

(nom de caisse populaire) 

(adresse du siège social) 

N" de téléphone : 

La caisse détient-elle un permis extraprovincial délivré par une autre compétence? (Préciser le lieu et la date) 



Si oui, ce permis est-il encore en vigueur et quand expire-t-il? 



Une autre compétence a-t-elle refusé de délivrer un permis extraprovincial à la caisse? (Si oui, préciser et donner 
les motifs du refus, le cas échéant) 



: i /■ / 



335 



1190 O. Reg. 96/89 

n est entendu : 



THE ONTARIO GAZETTE 



O. Reg. 98/89 



1. Qu'aucune caisse qui est une personne morale extraprovinciale au sens de la Loi sur 
les compagnies et associations (c'est-à-dire une personne morale qui n'est pas consti- 
tuée en vertu d'une loi de la législature de l'Ontario) n'obtient de permis en vertu de 
cette loi à titre de personne morale extraprovinciale à moins qu'elle ne soit d'abord 
enregistrée en vertu de la Loi sur les caisses populaires et les credit unions par le 
directeur. 

2. Que si une demande est agréée, la caisse sera autorisée à exercer les activités d'une 
caisse en Ontario, ses objets étant toutefois limités aux fins suivantes : 

a) enregistrement des hypothèques, charges ou autres sûretés en Ontario à l'é- 
gard de prêts consentis par la caisse dans le cours de ses activités en ; 

(nom de la province) 

b) introduction de poursuites au civil en Ontario à l'égard de ces prêts, hypo- 
thèques et autres sûretés. 

Signé par : 



Le président. 



Le secrétaire. 



(sceau) 



10/89 



Règl. de l'Ont. 96/89, art. 2, en partie. 



DEVELOPMENT CORPORATIONS ACT 

O. Reg. 97/89. 

Ontario International Corporation. 
Made — February 22nd, 1989. 
Filed— February 23rd, 1989. 



REGULATION TO AMEND 

REGULATION 241 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

DEVELOPMENT CORPORATIONS 

ACT 

1. Section 18 of Regulation 241 of 
Revised Regulations of Ontario, 1980, 
as remade by section 2 of Ontario Reg- 
ulation 113/84, is revoked and the fol- 
lowing substituted therefor: 



18. The Ontario International Corporation termi- 
nates on the 31st day of December, 1989. O. Reg. 
97/89, s. 1. 



10/89 



PLANNING ACT, 1983 

O. Reg. 98/89. 

Restricted Areas — District of 
Manitoulin, Geographic townships of 
Campbell, Dawson, Mills and 
Robinson. 

Made — February 15th, 1989. 

Filed— February 23rd, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 672/81 

MADE UNDER THE 

PLANNING ACT, 1983 



336 



O. Reg. 98/89 



THE ONTARIO GAZETTE 



O. Reg. 99/89 1191 



1. Ontario Regulation 672/81 is amended 
by adding thereto the following section: 

111. — (1) Notwithstanding subsection 50 (1), one 
single-family dwelling and buildings and structures 
accessor].- thereto may be erected and used on each of 
the parts described in subsection (2) if the following 
requirements are met: 

Minimum lot frontage 100 metres 

Minimum lot area 9500 square metres 

(2) Subsection (1) applies to that parcel of land in 
the geographic Township of Campbell in the District 
of Manitoulin, being that part of Lot 14 in Concession 
X, designated as parts 1 and 2 on Reference Plan 
31R-1807 deposited in the Land Registry Office for the 
Registn,' Div-ision of Manitoulin (No. 31). O. Reg. 
98/89. s. 1. 

Pauline Morris 

Director 

Plans Administration Branch 

North and East 

Ministry of Municipal Affairs 

Dated at Toronto, this 15th day of Februar>-, 1989. 

10/89 



ENERGY ACT 

O. Reg. 99/89. 

Propane Storage, Handling and 

Utilization Code. 
Made — February 22nd, 1989. 
Filed— February 24th, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 825/82 

MADE UNDER THE 

ENERGY ACT 

1. Subsection 2(1) of Ontario Regulation 
825/82, as amended by section 1 of 
Ontario Regulation 295/83 and section 
1 of Ontario Regulation 522/84, is 
further amended by adding thereto the 
following paragraphs: 

29a. Section 5.24 >li;tll I» read with the addition of 
the following »I.iiim-; 

5.24.2 A refrigerator shall not be installed inside a 
building used or intended for sheltering 
persons or animals. 

5.24.3 Clause 5.24.2 does not apply to a refrigerator 
that is a direct vent appliance. 

5.24.4 A refrigerator shall comply with the 
requirements of the Fuels Safety Branch of 
the Ministr>- Publication Standard G.P. No. 
6 "Refrigerators using Gas or Propane Fuels" 
dated July. 1988. 



112a. Clause 17.5.1 shall be read as foUows: 

17.5.1 Ever\- heating appliance, water heater or 
refrigerator installed in a recreational vehicle 
or mobile housing, other than a canvas top 
tent trailer, shall be of the direct vent 
appHance t>pe or equivalent and shall be 
installed to provide complete separation of 
the combustion system from the atmosphere 
of the space provided for living. 

10/89 



337 



THE ONTARIO GAZETTE 1193 

INDEX 10 



GOVERNMENT NOTICES 



Parliamentary Notice — Royal Assent 915 

Motor Vehicle Transport Act, 1987 916 

Certificates of Incorporation 935 

Certificates of Incorporation Issued 956 

Letters Patent of Incorporation Issued 956 

Certificates of Amalgamation 957 

Certificates of Continuance 958 

Transfer of Ontario Corporations 958 

Restated Certificate of Incorporation 958 

Amendments to Articles 959 

Articles of Revival 964 

Certificates of Amendment of Articles Issued 964 

Supplementary Letters Patent Issued 964 

Orders Reviving Corporate Powers 965 

Extra-Provincial Licences Endorsed 965 

Extra-Provincial Licence Terminated 965 

Certificates of Dissolution 965 

Decision on Application for Audit Exemption 966 

Cancellation of Certificates of Incorporation (Corporations Tax Act Defaulters) 966 

Errata 971 

Change of Name Act 971 

Loan and Trust Corporations Act, 1987 974 

Pesticides Act 974 

Applications to Provincial Parliament — Private Bills 975 

Petitions to Provincial Parliament 975 

Applications to Provincial Parliament 976 

CORPORATION NOTICES 978 

PUBLICATIONS UNDER THE REGULATIONS ACT 

Credit Unions and Caisses Populaires Act O. Reg. 96/89 1178 

Development Corporations Act O. Reg. 97/89 1190 

Energy Act O. Reg. 99/89 1191 

Environmental Assessment Act O. Reg. 87/89 981 

Farm Income Stabilization Act O. Reg. 90/89 984 

Farm Income Stabilization Act O. Reg. 91/89 985 

GasoUne Tax Act O. Reg. 88/89 983 

Health Insurance Act O. Reg. 94/89 986 

Justices of the Peace Act O. Reg. 92/89 985 

Laboratory and Specimen Collection Centre Licensing Act O. Reg. 95/89 1176 

Planning Act, 1983 O. Reg. 89/89 984 

Planning Act, 1983 O. Reg. 98/89 1190 

Provincial Offences Act O. Reg. 93/89 985 



1194 



THE ONTARIO GAZETTE 

m 




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O. Reg. 100/89 



THE ONTARIO GAZETTE 



1287 



Publications Under The Regulations Act 



March 18th. 1989 



MUNICIPAL BOUNDARY 
NEGOTIATIONS ACT, 1981 

O. Reg. 100/89. 

City of Cambridge, Township of North 

Dumfries Boundary. 
Made— February 22nd, 1989. 
Filed— Februar>' 27th, 1989. 



ORDER IN COUNCIL 



R.O.C. 74/89 



Whereas The Regional Municipality of Waterloo, 
The Corporation of the City of Cambridge and The 
Corporation of the Township of North Dumfries have 
entered into an agreement dated the 28th day of July, 
1988 for the resolution of certain boundary' issues; 

And Whereas public notice was given by the Clerk 
of the Executive Council under subsection 17 ( 1) of the 
Municipal Boundary Negotiations Act, 1981 of the 
intention to make an Order implementing the inter- 
municipal agreement; 

And Whereas no objections to the proposed issu- 
ance of the Order were filed with the Clerk of the 
Executive Council within the filing period; 

Now Therefore, on the recommendation of the 
undersigned, the Lieutenant Governor, by and with 
the advice and concurrence of the Executive Council, 
orders under section 14 of the Municipal Boundary 
Xegotiations Act, 1981 that, 

1. — (1) On the 1st day of March, 1989, the portion 
of the Township of North Dumfries described in 
Schedule A is annexed to the City of Cambridge and is 
added to and forms part of Ward 5 in the City of Cam- 
bridge. 

(2) On the 1st day of March, 1989, the portion of 
the City of Cambridge described in Schedule B is 
annexed to the Township of North Dumfries and is 
added to and forms part of Ward 3 in the Township of 
North Dumfries. 

2. — (1) All real property of The Corporation of the 
Township of North Dumfries situate in the area to be 
annexed to the City of Cambridge vests in The Corpo- 
ration of the City of Cambridge on the 1st day of 
March, 1989. 

(2) All real property of The Corporation of the City 
of Cambridge situate in the area to be annexed to the 



Township of North Dumfries vests in The Corpora- 
tion of the Township of North Dumfries on the 1st day 
of March, 1989. 

3. On the 1st day of March, 1989, the by-laws of 
The Corporation of the City of Cambridge extend to 
the area to be annexed to the City of Cambridge and 
the by-laws of The Corporation of the Township of 
North Dumfries cejise to apply to such area, except, 

(a) by-laws of The Corporation of the Township 
of North Dumfries, 

(i) that were passed under section 34 of 
the Planning Act, 1983 or a predeces- 
sor of that section, 

(ii) that were kept in force by subsection 
13 (3) of The Municipal Amendment 
Act, 1941, or 

(iii) that were passed under the Highway 
Traffic Act or the Municipal Act that 
regulate the use of highways by vehi- 
cles and pedestrians and that regulate 
the encroachment or projection of 
buildings or any portion thereof upon 
or over highways, 

which shall remain in force until repealed by 
the council of The Corporation of the City of 
Cambridge; 

(b) by-laws of The Corporation of the Township 
of North Dumfries passed under section 45, 
58 or 61 of the Drainage Act or a predecessor 
of those sections; and 

(c) by-laws conferring rights, privileges, fran- 
chises, immunities or exemptions that could 
not have been lawfully repealed by the coun- 
cil of The Corporation of the Township of 
North Dumfries. 

4. On the 1st day of March, 1989, the by-laws of 
The Corporation of the Township of North Dumfries 
extend to the area to be annexed to the Township of 
North Dumfries and the by-laws of The Corporation 
of the City of Cambridge cejise to apply to such area, 
except, 

(a) by-laws of The Corporation of the City of 
Cambridge, 

(i) that were passed under section 34 of 
the Planning Act, 1983 or a predeces- 
sor of that section, 



339 



1288 



THE ONTARIO GAZETTE 



O. Reg. 100/89 



(ii) that were kept in force by subsection 
13 (3) of The Municipal Amendment 
Act, 1941, or 

(iii) that were passed under the Highway 
Traffic Act or the Municipal Act that 
regulate the use of highways by vehi- 
cles and pedestrians and that regulate 
the encroachment or projection of 
buildings or any portion thereof upon 
or over highways, 

which shall remain in force until repealed by 
the council of The Corporation of the Town- 
ship of North Dumfries; 

(b) by-laws of The Corporation of the City of 
Cambridge passed under section 45, 58 or 61 
of the Drainage Act or a predecessor of those 
sections; and 

(c) by-laws conferring rights, privileges, fran- 
chises, immunities or exemptions that could 
not have been lawfully repealed by the coun- 
cil of The Corporation of the City of Cam- 
bridge. 

5. — (1) The clerk of The Corporation of the Town- 
ship of North Dumfries shall forthwith prepare and 
furnish to the clerk of The Corporation of the City of 
Cambridge a special collector's roll showing all arrears 
of taxes or special rates assessed against the lands in 
the area to be annexed to the City of Cambridge up to 
and including the 28th day of February, 1989 and the 
persons assessed therefor. 

(2) The clerk of The Corporation of the City of 
Cambridge shall forthwith prepare and furnish to the 
clerk of The Corporation of the Township of North 
Dumfries a special collector's roll showing all arrears 
of taxes or special rates assessed against the lands in 
the area to be annexed to the Township of North 
Dumfries up to and including the 28th day of Febru- 
ary, 1989, and the persons assessed therefor. 

6. — (1) All real property taxes levied under any gen- 
eral or sp)ecial Act and uncollected in the area to be 
annexed to the City of Cambridge that are due and 
unpaid on the 28th day of February, 1989 shall be 
deemed on the 1st day of March, 1989 to be taxes due 
and payable to The Corporation of the City of Cam- 
bridge and may be collected by The Corporation of the 
City of Cambridge. 

(2) On or before the 1st day of May, 1989, The 
Corporation of the City of Cambridge shall pay to The 
Corporation of the Township of North Dumfries an 
amount equal to the amount of all real propjerty taxes 
that The Corporation of the City of Cambridge is enti- 
tled to collect in the area to be annexed to the City of 
Cambridge under subsection (1) that were due but 
unpaid on the Istday of March, 1989. 

7. — (1) All real propierty taxes levied under any gen- 
eral or special Act and uncollected in the area to be 



annexed to the Township of North Dumfries that are 
due and unpaid on the 28th day of February, 1989 
shall be deemed on the 1st day of March, 1989 to be 
taxes due and payable to The Corporation of the 
Township of North Dumfries and may be collected by 
The Corporation of the Township of North Dumfries. 

(2) On or before the 1st day of May, 1989, The 
Corporation of the Township of North Dumfries shall 
pay to The Corporation of the City of Cambridge an 
amount equal to the amount of all real prop)erty taxes 
that The Corporation of the Township of North Dum- 
fries is entitled to collect in the area to be annexed to 
the Township of North Dumfries under subsection (1) 
that were due but unpaid on the 1st day of March, 
1989. 

8. — (1) All business taxes levied and uncollected in 
the area to be annexed to the City of Cambridge that 
are due and unpaid on the 28th day of February, 1989 
shall continue after that date to be taxes due and pay- 
able to The Corporation of the Township of North 
Dumfries and may be collected by The Corporation of 
the Township of North Dumfries. 

(2) All business taxes levied and uncollected in the 
area to be annexed to the Township of North Dum- 
fries that are due and unpaid on the 28th day of Feb- 
ruary, 1989 shall continue after that date to be taxes 
due and payable to The Corporation of the City of 
Cambridge and may be collected by The Corporation 
of the City of Cambridge. 

9. — (1) The assessment of land, 

(a) in the area to be annexed to the City of Cam- 
bridge; 

(b) in the area to be annexed to the Township of 
North Dumfries; and 

(c) in the case of a property divided by either of 
the annexations, in that portion of the prop)- 
erty outside the annexed area, 

upon which the taxes after the 28th day of February, 
1989 shall be levied shall be determined by the Assess- 
ment Commissioner in accordance with the classes of 
real property and the factors prescribed by regulations 
made under the Regional Municipality of Waterloo 
Act. 

(2) Where the Assessment Commissioner makes an 
assessment in accordance with subsection (1), section 
34 of the Assessment Act applies to the assessment. 

10. The agreement among The Regional Munici- 
pality of Waterloo, The Corporation of the City of 
Cambridge and The Corporation of the Township of 
North Dumfries entered into on the 28th day of July, 
1988 is hereby given effect. O. Reg. 100/89. 



Recommended 



John Eakins 

Minister of Municipal 

Affairs 



340 



O. Reg. 100/89 



THE ONTARIO GAZETTE O. Reg. 102/89 1289 



Concurred 



Murray Elston 
Chairman 



Approved and Ordered February 22nd, 1989. 

Lincoln M. Alexander 
Lieutenant Governor 

Schedule A 

AREA TO BE ANNEXED TO THE 
CITY OF CAMBRIDGE 

That parcel of land situate in the Township of North 
Dumfries being those parts of Lot 14 in Concession X 
of the said Township, being parts 1 and 3 as shown on 
a Han deposited in the Land Registry Office for the 
Registr\' Division of Waterloo (No. 67) as Number 
67 R3698. O. Reg. 100/89, Sched. A. 

Schedule B 

AREA TO BE ANNEXED TO THE 
TOWNSHIP OF NORTH DUMFRIES 

That parcel of land situate in the Cit>' of Cambridge, 
being those parts of Lot 14 in Concession X and the 
road allowance between concessions IX and X of the 
former Township of North Dumfries, being parts 2 
and 4 as shown on a Plan deposited in the Land Regis- 
try Office for the Registrv- Division of Waterloo (No. 
67) as Number 67 R 3098. O. Reg. 100/89, 
Sched. B. 

11789 



RESIDENTIAL RENT REGULATION 
ACT, 1986 

O. Reg. 101/89. 

General. 

Made — Februar> 22nd. 1989. 

Filed— February 27th. 1989. 



(b) in Form 10 instead of Form 1 or Form 2 if the 
current maximum rent is not higher than the 
current rent. O. Reg. 101/89, s. 1. 



REGULATION TO AMEND 

ONTARIO REGULATION 749/86 

MADE UNDER THE 

RESIDENTIAL RENT REGULATION 

ACT, 1986 

1. Subsection 2 (2) of Ontario Regulation 
749/86, as remade by section 1 of 
Ontario Regulation 133/88, is revoked 
and the following substituted therefor: 

(2) Notwithstanding subsection (1), a notice of rent 
increase under subsection 5 (1) of the Act may be. 



11/89 



PLANNING ACT, 1983 

O. Reg. 102/89. 

Zoning Areas — ^Territorial District of 
Algoma, Geographic townships of 
Abotossaway, Aguonie, André, Bird, 
Bostwick, Bruyère, Chenard, Corbière, 
Cowie, Dambrossio, Dumas, Esquega, 
Fiddler, Finan, Franchère, Groseilliers, 
Huotari, Jacobson, Keating, Killins, 
Knicely, Lalibert, Lastheels, Leclaire, 
Legarde, Leguerrier, Levesque, Macaskill, 
Maness, Menzies, Michano, Musquash, 
Nebonaionquet, Pearkes, Riggs, 
St. Germain, St. Julien and Warpula. 

Made — February ISth, 1989. 

Filed— February 28th, 1989. 



(a) in Form 9 instead of Form 1 or Form 2; or 



ORDER MADE UNDER THE 
PLANNING ACT, 1983 

ZONING AREAS— TERRITORIAL DISTRICT OF 

ALGOMA, GEOGRAPHIC TOWNSHIPS OF 

ABOTOSSAWAY, AGUONIE, ANDRÉ, BIRD, 

BOSTWICK, BRLTYERE, CHENARD, 
CORBIERE, COWIE, DAMBROSSIO, DUMAS, 
ESQUEGA, FIDDLER, FINAN, FRANCHÈRE, 

GROSEILLIERS, HUOTARI, JACOBSON, 

KEATING, KILLINS, KNICELY, LALIBERT, 

LASTHEELS, LECLAIRE, LEGARDE, 

LEGUERRIER, LEVESQUE, MACASKILL, 

MANESS, MENZIES, MICHANO, MUSQUASH, 

NEBONAIONQUET, PEARKES, RIGGS, 

ST. GERMAIN, ST. JULIEN AND WARPULA 

INTERPRETATION 

1. In this Order, 

"accessory", when used to describe a use, building or 
structure, means a use, building or structure that is 
normally incidental or subordinate to the principal 
use, building or structure located on the same lot; 

"agricultural use" means a use of land, buildings or 
structures for the purpose of field crops, fruit farm- 
ing, market gardening, dairying, animal hus- 
bandry, fur farming, peat extraction, poultry- rais- 
ing, beekeeping and uses that are customarily and 
normally related to agriculture; 

"bunkhouse" means a building without cooking facili- 
ties that is used only for sleeping accommodation; 



341 



1290 



THE ONTARIO GAZETTE 



O. Reg. 102/89 



"commercial use" means the use of any land, buildings 
or structures for the purpose of buying and selling 
commodities or supplying services; 

"dwelling unit" means one or more habitable rooms 
occupied or capable of being occupied as an inde- 
pendent and separate housekeeping establishment 
in which separate kitchen and sanitary facilities are 
provided for the exclusive use of the unit with a pri- 
vate entrance from outside the building or from a 
common hallway or stairway inside the building; 

"forestry" means the management, development, cul- 
tivation, harvesting and processing of timber 
resources, to ensure the continuous production of 
wood or wood products, provision of proper envi- 
ronmental conditions for wildlife, protection 
against floods and erosion, and preservation of the 
recreation resource including necessary road build- 
ing and aggregate extraction activities directly 
related to these uses; 

"gross floor area" means the aggregate of the horizon- 
tal areas of each floor, whether above or below 
grade, measured between the exterior faces of the 
exterior walls of the building or structure but, in 
the case of a dwelling unit, does not include the 
floor area of a garage, porch, verandah, unfinished 
attic, basement or cellar; 

"ground floor area" means the area of the lowest 
storey of a building or structure above grade, 
excluding any basement or cellar, which area is 
measured between the exterior faces of the exterior 
walls of the floor level of that storey but, in the case 
of a dwelling unit, does not include the floor area of 
a garage, porch, verandah or unfinished attic, 
basement or cellar; 

"guest cabin" means a building without cooking and 
sanitary facilities that is accessory to a seasonal 
dwelling and used only for purposes of sleeping 
accommodation; 

"home occupation" means any occupation for gain or 
support conducted on the same lot as a single dwell- 
ing, subordinate to the principal use of the lot for 
residential purposes, and employing no more than 
one person who is not a resident of the dwelling; 

"industrial use" means the use of any land, buildings 
or structures for the purpose of manufacturing, 
assembling, making, preparing, inspecting, orna- 
menting, finishing, treating, altering, repairing, 
warehousing, storing or adapting for sale any 
equipment, goods, substance, article or thing, or 
any part thereof; 

'lot" means a parcel of land, 

(a) described in a deed or other document legally 
capable of conveying land, or 



(b) shown as a lot or block on a registered plan 
of subdivision; 



"mining" means the activities related to the explora- 
tion for, development of, and production of any 
rock strata, stone or mineral bearing substance, 
including the act of closure and rehabilitation but 
not including any dwelling units; 

"mining production" means the operation of a mine 
which is assessed for taxation under the Mining 
Tax Act; 

"mobile home" means any dwelling unit that is 
designed to be made mobile and constructed or 
manufactured as a permanent residence for one or 
more persons, but does not include a recreational 
vehicle, or any type of trailer; 

"pit" means land from which unconsolidated aggre- 
gate may be excavated, but does not include an 
excavation for a building or structure; 

"quarry" means land from which consolidated aggre- 
gate may be excavated but does not include an 
excavation for a building or structure; 

"recreational use" means commercial or private 
recreational pursuits, skiing, hunting, trapping, 
fishing, hiking, snowmobiling, bicycling and other 
open air activities; 

"seasonal dwelling" means a single dwelling, used for 
recreational use but not as a principal residence, on 
lands that abut a lake or river; 

"single dwelling" means a separate building contain- 
ing only one dwelling unit; 

"street" means a public highway that is a principal 
means of access to abutting lots that is under the 
jurisdiction of the Province of Ontario or a local 
roads board or is a road shown on a registered plan 
of subdivision; 

"wayside pit or quarry" means a temporary source of 
consolidated or unconsolidated aggregate op)ened 
by or for a public road authority, including a local 
roads board, for the purpose of a particular project 
of public road construction. O. Reg. 102/89, s. 1. 

APPLICATION 

2. This Order applies to all the lands in the geo- 
graphic townships of Abotossaway, Aguonie, André, 
Bird, Bostwick, Bruyère, Chenard, Corbière, Cowie, 
Dambrossio, Dumas, Esquega, Fiddler, Finan, 
Franchère, Groseilliers, Huotari, Jacobson, Keating, 
Killins, Knicely, Lalibert, Lastheels, Leclaire, 
Legarde, Leguerrier, Levesque, Macaskill, Maness, 
Menzies, Michano, Musquash, Nebonaionquet, 
Pearkes, Riggs, St. Germain, St. Julien and Warpula 
in the Territorial District of Algoma. O. Reg. 
102/89, s. 2. 



3. No land to which this Order applies shall here- 
after be used and no building or structure shall be 



342 



O. Reg. 102/89 



THE ONTARIO GAZETTE 



1291 



erected or used except in accordance with the terms of 
this Order, but nothing in this Order prevents the use 
of any land, building or structure for any purpose pro- 
hibited by this Order, if such land, building or struc- 
ture was lawfully used for such purpose on the day 
this Order comes into force. O. Reg. 102/89, s. 3. 



NUMBER OF DWELLINGS PER LOT 

4. — (1) Not more than one single dwelling, mobile 
home or seasonal dwelling is permitted on a lot. 

(2) Despite subsection (1), one seasonal dwelling is 
permitted on a parcel of land if the conveyance or 
agreement granting the use of or right in the parcel 
does not contravene the subdivision or part lot control 
provisions of section 49 of the Planning Act, 1983 and 
if the parcel is located within the geographic town- 
ships of Abotossaway, Aguonie, Bird, Corbière, 
Cowie, Fiddler, Keating, Killins, Knicely, Lalit>ert, 
Leclaire, Legarde, Levesque, Macaskill, Maness, 
Menzies, Michano, Musquash or Nebonaionquet. 
O. Reg. 102/89. s. 4. 



RECONSTRUCnON AND REPAIRS 

5. — (1) Nothing in this Order prevents the recon- 
struction of any building or structure that is damaged 
or destroyed by causes beyond the control of the 
owner, if the dimensions of the original building or 
structure are not increased or its original use altered. 

(2) Nothing in this Order prevents the strengthen- 
ing or restoration to a safe condition of any building or 
structure or part of any such building or structure. 
O. Reg. 102/89, s. 5. 



ENLARGEMENT 

6. — (1) The extension or enlargement of a single 
dwelling or a seasonal dwelling is permitted. 

(2) Buildings and structures used for conmiercial or 
industrial uses on the date this Order comes into force, 
including buildings and structures accessory thereto, 
may be extended or enlarged if the gross floor area of 
the building or structure as extended or enlarged does 
not exceed 125 per cent of the gross floor area of the 
building or structure on the date this Order comes into 
force. O. Reg. 102/89, s. 6. 



FRONTAGE ON A STREET 

7. No buUding or structure, except a seasonal 
dwelling, a tourist lodge, a cabin associated with a 
tourist lodge or a single dwelling accessor>- to a tourist 
lodge and used by the owner or manager, shall be 
erected or located on a lot that does not abut a street 
that is opened and maintained year round. O. Reg. 
102/89, s. 7. 



SETBACKS FROM PROVINCIAL fflGHWAVS 

8. Despite any other provision of this Order, no 
building or structure shall be located within 45 metres 
of the centre line of Highway 17 or within i2 metres of 
the centre line of any other street. O. Reg. 102/89, 
s. 8. 

PERMITTED USES 

9. Everv' use of land and every erection or use of 
buildings or structures on the land to which this Order 
applies is prohibited except, 

(a) agricultural uses; 

(b) home occupations; 

(c) forestry; 

(d) mining, including pits, quarries and wajfside 
pits or quarries; 

(e) recreational uses; 

(f) seasonal dwellings; 

(g) temporar>' bunkhouses or mobile homes, 
used exclusively for the accommodation of 
persons engaged in mining jictivities prior to 
mining production; 

(h) tourist lodges and cabins accessory to tourist 
lodges and one single dwelling accessory- to a 
tourist lodge and used by the owner or man- 
ager; 

(!) water storage uses; 

0) public utilities; 

(k) operation of a railway; 

(1) a single dwelling on a lot in Plan number 
Ml 16, M313 or M343 registered in the Land 
Registry Office for the Registry- Division of 
Algoma(No. 1); 

(m) uses, buildings and structures accessory to 
uses, buildings and structures permitted by 
clauses (a) to (1). O. Reg. 102/89, s. 9. 

NO HUMAN H.'VBITA-nON IN ACCESSORY BUILDINGS AND 
STRUCTURES 

10. No accessory building or structure, except a 
guest cabin, a cabin accessory to a tourist lodge or a 
single dwelling accessory to a tourist lodge and used 
by the owner or manager, shall be used for human 
habitation. O. Reg. 102/89, s. 10. 

TEMPORARY USES 

11. A tool shed, scaffold or other building or struc- 
ture incidental to the construction of a building or 



343 



1292 O. Reg. 102/89 THE ONTARIO GAZETTE 



O. Reg. 103/89 



structure permitted by this Order and located on the 
same lot may be maintained until the construction is 
completed or has been discontinued. O. Reg. 
102/89, s. 11. 

HOME OCCUPATIONS 

12. Where a home occupation is a permitted use, 
the gross floor areas used for the home occupation 
shall not exceed 40 square metres, or 25 per cent of the 
gross floor area of the dwelling unit, whichever is the 
greater. O. Reg. 102/89, s. 12. 

EXCEPTION 

13. — (1) Despite clause 9 (g), the land described in 
subsection (3) may not be used for temporary bunk- 
houses or mobile homes exclusively for the accommo- 
dation of persons engaged in mining activities prior to 
mining production unless a maximum of 100 persons 
is accommodated therein. 

(2) Despite any other provision of this Order, the 
land described in subsection (3) may be used for tem- 
porary bunkhouses or mobile homes exclusively for 
the emergency accommodation of persons engaged in 
mining production if a maximum of 100 persons is 
accommodated therein. 

(3) Subsection (1) applies to that parcel of land in 
the geographic Township of Finan in the Territorial 
District of Algoma, being Parcel 1801 Algoma West 
Section SSM 3907 and Parcel 1802 Algoma West Sec- 
tion SSM 3902, both in the Land Registry Office for 
the Land Titles Division of Algoma (No. 1). O. Reg. 
102/89, s. 13. 

John Eakins 
Minister of Municipal Affairs 

Dated at Toronto, this ISth day of February, 1989. 
11/89 



PLANNING ACT, 1983 

O. Reg. 103/89. 

Zoning Areas — ^Territorial District of 

Thunder Bay, Geographic Township of 

Upsala. 
Made — February 13th, 1989. 
Filed— February 28th, 1989. 



ORDER MADE UNDER THE 
PLANNING ACT, 1983 

ZONING AREAS— TERRITORIAL DISTRICT OF 

THUNDER BAY, GEOGRAPHIC TOWNSHIP OF 

UPSALA 



interpretation 

1. In this Order, 

"accessory", when used to describe a use, building or 
structure, means a use, building or structure that is 
normally incidental or subordinate to the principal 
use, building or structure on the same lot; 

"dwelling" means one or more habitable rooms, occu- 
pied or capable of being occupied by one or more 
persons as a residence; 

"industrial construction camp" means lands, buildings 
and structures used as a base camp for the con- 
struction of a section of the Trans Canada Pipeline 
and includes eating, sleeping and recreational facil- 
ities for persons engaged in such construction; 

"mobile home" means any dwelling that is designed to 
be made mobile and constructed or manufactured 
to provide a permanent residence for one or more 
persons but does not include a travel trailer or tent 
trailer or trailer otherwise designed. O. Reg. 
103/89, s. 1. 

APPLICATION 

2. This Order applies to the following lands in the 
geographic Township of Upsala, in the Territorial 
District of Thunder Bay: 

1. Parcel 3747 in the register for the District of 
Fort William Freehold in the Land Registry 
Office for the Land Titles Division of Thun- 
der Bay (No. 55), being the south half of Lot 
4 in Concession III, Saving and Excepting 
Part 1 on Reference Plan FWR-128, Part 1 
on Reference Plan SSR-1311, Parts 1, 2 and 3 
on Reference Plan 55R-3675, Parcel Plan 1, 
Section M-406, Part 1 on Reference Plan 
55R-4902, Part 1 on Reference Plan 55R- 
6319, Part 2 on Reference Plan SSR-7089, all 
as deposited in the said Land Registry 
Office. 

2. Parcel 15912 in the register for Thunder Bay 
Freehold in the Land Registry Office for the 
Land Titles Division of Thunder Bay (No. 
55), being the south half of Lot 4 in Conces- 
sion III, Saving and Excepting Parts 3 and 
4 on Reference Plan 55R-6464 deposited in 
the said Land Registry Office. O. Reg. 
103/89, s. 2. 



3. No land to which this Order applies shall be 
used and no building or structure shall be erected or 
used except in accordance with the terms of this 
Order, but nothing in this Order prevents the use of 
any land, building or structure for a purpose prohib- 
ited by this Order if the land, building or structure is 
lawfully used for such purpose on the day this Order 
comes into force. O. Reg. 103/89, s. 3. 



344 



O. Reg. 103/89 THE ONTARIO GAZETTE O. Reg. 106/89 1293 

PERMTITED USES Dated at Toronto, this 27th day of Februan-, 1989. 



4. The lands referred to in section 2 may be used 
for an industrial construction camp, including not 
more than 100 mobile homes, and for uses, buildings 
and structures accessory to the industrial construction 
camp. O. Reg. 103/89, s. 4. 

REBUILDING AND REPAIR 

5. — (1) Nothing in this Order prevents the recon- 
struction of any building or structure that is damaged 
or destroyed by causes beyond the control of the owner 
if the dimensions of the original building or structure 
are not increased or its original use altered. 

(2) Nothing in this Order prevents the strengthen- 
ing or restoration to a safe condition of any building or 
structure or part of any such building or structure. 
O. Reg. 103/89, s. 5. 

John Eakins 
Minister of Municipal Affairs 

Dated at Toronto, this 13th day of February, 1989. 
11/89 



PLANNING ACT, 1983 

O. Reg. 104/89. 

Delegation of Authority of Minister 

under Section 4 of the Planning Act, 

1983 — Consents. 
Made— February- 27th, 1989. 
Filed— March 1st. 1989 



11/89 



REGULATION TO AMEND 

ONTARIO REGULATION 474/83 

MADE UNDER THE 

PLANNING ACT, 1983 

1, Subsection 1 (3) of Ontario Regulation 
474/83, as remade by section 1 of 
Ontario Regulation 758/86, is amended 
by adding thereto the following clause: 

(ca) in the case of land in the Town of Jaffray and 
Melick. before the 1st day of March, 1989; 

2. Schedule I to the said Regulation, as 
amended by section 2 of Ontario Reg- 
ulation 693/84 and section 3 of Ontario 
Regulation 758/86, is further amended 
by adding thereto the following: 

The Town of Jaffray and Melick 

John Eakins 
Minister of Municipal Affairs 



MILK ACT 

O. Reg. 105/89. 

Marketing of Milk to Fluid Milk 

Processors. 
Made— March 1st, 1989. 
Filed— March 1st, 1989. 



REGULATION TO AMEND 

ONTARIO REGULATION 541/81 

MADE UNDER THE 

MILK ACT 

1. Subsection 15 (12) of Ontario Regula- 
tion 541/81, as remade by section 1 of 
Ontario Regulation 59/88, is revoked 
and the following substituted therefor: 

(12) The minimum prices that apply under subsec- 
tions (1) to (11) shall be increased or decreased at the 
rate of $0.6479 for each 0.10 kilograms of milk-fat 
above or below 3.6 kilograms of milk- fat in each 
hectolitre of milk. O. Reg. 105/89, s. 1. 

The Ontario Milk Marketing Board: 

J. Grant Smith 
Chairman 

H. Parker 

Secretary 

Dated at Mississauga, this 1st day of March, 1989. 
11/89 

MILK .ACT 

O. Reg. 106/89. 
Industrial Milk — Marketing. 
Made— March 1st, 1989. 
Filed— March 1st, 1989. 



REGULATION TO AMEND 

REGULATION 623 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

MILK ACT 

Subsection 13 (8) of Regulation 623 of 
Revised Regulations of Ontario, 1980, 



345 



1294 O. Reg. 106/89 THE ONTARIO GAZETTE 



O. Reg. 107/89 



as remade by section 1 of Ontario Reg- 
ulation 60/88, is revoked and the fol- 
lowing substituted therefor: 

(8) The minimum prices that apply under subsec- 
tions (1), (2), (3), (4). (4a), (5), (6) and (7) shall be 
increased or decreased at the rate of $0.6479 for each 
0.10 kilograms of milk-fat above or below 3.6 kilo- 
grams of milk-fat in each hectolitre of milk. O. Reg. 
106/89, s. 1. 



The Ontario Milk Marketing Board: 

J. Grant Smith 
Chairman 

H. Parker 

Secretary 

Dated at Mississauga, this 1st day of March, 1989. 
11/89 



REGISTRY ACT 

O. Reg. 107/89. 

Hours. 

Made— February 27th, 1989. 

Filed— March 1st, 1989. 



REGULATION MADE UNDER THE REGISTRY ACT 

HOURS 

1. Despite section 4 of Regulation 896 of Revised Regulations of Ontario, 1980 (Forms and Records) and 
section 52 of Ontario Regulation 75/82 (Forms, Records and Procedures), the land registry offices set out in Col- 
umn 1 of the Table shall be kept open from 9.30 o'clock in the forenoon until 5.30 o'clock in the afternoon, local 
time, on the days set out in Column 2 of the Table: 



TABLE 
Column 1 
Registry Division of Newcastle (No. 10) 
Land Titles Division of Newcastle (No. 10) 
Registry Division of Durham (No. 40) 
Land Titles Division of Durham (No. 40) 
Registry Division of Peel (No. 43) 
Land Titles Division of Peel (No. 43) 
Registry Division of Toronto (No. 63) 
Registry Division of Toronto Boroughs (No. 64) 
Registry Division of York Region (No. 65) 
Land Titles Division of York Region (No. 65) 
Land Titles Division of Metropolitan Toronto (No. 66) 



Dated at Toronto, this 27th day of February, 1989. 
11/89 



Column 2 

Friday, April 28, 1989 

Friday, May 26, 1989 

Friday, June 30, 1989 

Friday, July 28, 1989 

Friday, September 1, 1989 

Friday, September 29, 1989 

Friday, October 27, 1989 

Thursday, November 30, 1989 

Wednesday, January 31, 1990 

Wednesday, February 28, 1990 

Friday, March 30, 1990 

O. Reg. 107/89, s. 1. 

Ronald A. Logan 
Director of Land Registration 



346 



O. Reg. 108/89 



THE ONTARIO GAZETTE 



1295 



ASSESSMENT ACT 

O. Reg. 108/89. 
Pipe Line Rates. 
Made— February 28th, 1989. 
Filed— March 2nd, 1989. 



REGULATION MADE UNDER THE 
ASSESSMENT ACT 

PIPE LINE RATES 

1. The rates contained in the Schedule apply to the 
assessment for taxation of all pipe lines liable to assess- 
ment and taxation under section 24 of the Act that are 
located in or on the boundar>' of any municipality or 
territory without municipal organization comprised in 
a localit>' named in this section or in any part of a 
municipality situated in, 

(a) the District of Algoma, 

(i) in the Town of Blind River, 

(ii) in the townships of The North Shore, 
Shedden and Thompson, and 

(iii) in the locality of the North Shore 
Board of Education; 

(b) in the District of Manitoulin, 

(i) in the towns of Gore Bay and Little 
Current, 

(ii) in the townships of Assiginack, Barrie 
Island, Billings, Burpee, CeuTiarvon, 
Cockbum Island, Gordon, Rowland, 
Rutherford and George Island, S2md- 
field and Tehkummah, and 



(iii) in the locality of the Manitoulin 
Board of Education; or 

(c) the Township of McKellar in the District of 
Parry Sound. O. Reg. 108/89, s. 1. 

2. For the purposes of clause 24 ( 1 7) (b) of the Act, 

(a) if two or more pipe lines occupy the same 
right of way, each pipe line occupying the 
right of way is a second and subsequent pipe 
line, except that which bears the highest 
assessed value computed by applying the 
rates in the Schedule without the reduction 
in the rates for the second and subsequent 
pipe lines occupying the same right of way 
provided for in clause (b) but, if two or more 
pipe lines occupying the same right of way 
have the same assessed value so computed 
and that assessed value is the highest 
assessed value or is the only assessed value 
for the pipe lines occupying that right of 
way, each of such pipe lines is designated as 
a second and subsequent pipe line except 
that one that was first in use as a pipe line; 
and 

(b) if the right of way occupied by a pipe line 
that is not designated to be a second or sub- 
sequent pipe line under clause (a) is also 
occupied by a pipe line that is designated to 
be a second or subsequent pipe line, each 
pipe line so designated shall be assessable 
and taxable at 75 per cent of the rate in the 
Schedule that is applicable to each pipe line 
so designated. O. Reg. 108/89. s. 2. 

3. This Regulation shall be deemed to have come 
into force on the 1st day of December, 1988 and 
applies to assessments for taxation in 1989 and subse- 
quent years. 



347 



1296 



THE ONTARIO GAZETTE 

Schedule 

I98f PIPS LINE BATES 
1381 KABSET VALUE IN DOLLARS PES FOOT OP LENGTH 



O. Reg. 108/89 



GAS OIL FIELD AKD GATHEBIKC 

SIZE OF PIPE TBAH3HISSI0H TBANSHISSIOH PIPE LINE 

PIPE LINE PIPE LINE - 

STEEL PLASTIC 



3/r 


- r 


NOHINAL INSIDE DIAHBTEB 


$3.30 


... 


$Z.50 


— 


1 i/r - 


1 1/2" 


NOKIHAL INSIDE DIAMETBB 


n.65 


$3.15 


$2.75 


$1.65 


Z" - 2 


1/2" 


NOHINAL INSIDE DIAMBTEB 


M.50 


$1.25 


$3.20 


$2.10 


3 


• 


NOHINAL INSIDE DIAHBTBR 


$5.85 


$5.50 


$1.10 


$3.35 


r - i 


1/2" 


NOHINAL INSIDE DIAHBTBB 


$7.10 


$6.70 


$5.05 


$1.10 


y - 5 


5/8" 


NOHINAL INSIDE DIAHETBB 


$8.35 


$8.00 


$6.00 


$5.20 


6' - E 


5/8" 


NOHINAL INSIDE DIAHBTBB 


$9.60 


$9.20 


$6.90 


$5.95 


8 




NOHINAL INSIDE DIAHETBB 


$13.65 


$12.95 


$9.70 




10 




NOHINAL INSIDE DIAHBTSR 


$18.55 


$17.15 


$13.90 




IZ 




NOHINAL INSIDE DIAHBTBB 


$23.85 


$22.20 


$17.90 




H 




OUTSIDE DIAHBTBB 


$29.30 


$26.95 






16 




OUTSIDE DIAHBTBB 


$31.85 


$31.70 






18 




OUTSIDE DIAHETER 


$11.05 


$36.55 






20 




OUTSIDE DIAHBTBB 


$17.15 


$12.25 






ZZ 




OUTSIDE DIAHETER 


$51.00 


- $17.50 






2< 




OUTSIDE DIAHBTBR 


$60.75 


$52.85 






26' 




OUTSIDE DIAHBTEB 


$67.65 


$58.20 






28" 




OUTSIDE DIAHBTBB 


$71.75 


$63.55 






30" 




OUTSIDE DIAHBTBB 


$82.00 


$68.90 






32' 




OUTSIDB DIAHETER 


$89.50 


$71.30 






3r 




OUTSIDE DIAHBTEB 


$97.15 


$79.65 






36* 




OUTSIDB DIAHETER 


$105.00 


$25.05 






38" 




OUTSIDB DIAHBTBR 


$113.00 


$90.10 






<0' 




OUTSIDB DIAHBTBR 


$121.35 








(2" 




OUTSIDE DIAHBTBR 


$129.75 









Dated at Toronto, this 28th day of February, 1989. 
11/89 



O. Reg. 108/89, Sched. 

Bernard Grandmaître 
Minister of Revenue 



348 



O. Reg. 109/89 



THE ONTARIO GAZETTE 



1297 



RETAIL SALES TAX ACT 

O. Reg. 109/89. 
Definitions by Minister. 
Made— Februan. 28th. 1989. 
Filed— March 2nd. 1989. 



REGULATION TO AMEND 

REGULATION 903 OF 

REVISED REGULATIONS 

OF ONTARIO, 1980 

MADE UNDER THE 

RETAIL SALES TAX ACT 

1. — (1) Paragraphs 7 and 9 of section 1 of 
Regulation 903 of Revised Regulations 
of Ontario, 1980, as made by section 1 
of Ontario Regulation 568/83, are 
revoked. 

(2) Paragraph 12a of the said section I, as 
made by section 1 of Ontario Regula- 
tion 568/83, is revoked. 

2. Subsections 6 (2) to (10) of the said 
Regulation are revoked and the fol- 
lowing substituted therefon 

(2) A single purchase exemption certificate may be 
used only with respect to each order for the supply of 
tangible personal property or each contract for the 
proN-ision of taxable services of a t>-pe referred to in 
clause (c) or (d) of paragraph 2 1 of section 1 of the Act. 

(3) A blanket purchase exemption certificate is valid 
for a period of three years or until revoked by the 
person or cancelled by the Minister. 

(4) A person who supplies a vendor with a blanket 
purchase exemption certificate with respect to tangible 
personal property or taxable ser\nces of a t\pe referred 
to in clause (c) or (d) of paragraph 2 1 of section 1 of the 
.\ct is not required to execute additional purchase 
exemption certificates for indi\idual purchases if there 
is no change in the character of the tangible personal 
property or the taxable ser\'ice referred to in the origi- 
nal blanket purchase exemption certificate. 

(5) A blanket purchase exemption certificate is not 
effective with respect to orders that follow the original 
blanket purchase exemption certificate unless refer- 
ence is made to the original purchase exemption cer- 
tificate by the person on each purchase order issued by 
the person for subsequent purchases of tangible per- 
sonal property or taxable ser\nces. 

(6) A reference on a purchase order to the applica- 
bilit\- of a blanket purchase exemption certificate to 
subsequent purchases shall be in the form prescribed 
in subsection (13) and, where the person filling out the 
purchase order is a vendor, the vendor's permit 
number shall be set out on the purchase order. 



(7) If a vendor receives an order from a person on 
which a purchase exemption certificate is indicated 
either by a rubber stamp or by reference to a single or 
blanket purchase exemption certificate, the vendor 
may sell tangible personal property or a taxable ser\-ice 
of a t>-pe referred to in clause (c) or (d) of paragraph 2 1 
of section 1 of the Act without collecting tax thereon. 

(8) A vendor has no responsibility for collecting tax 
with respect to tangible personal property or a taxable 
ser\-ice sold in accordance with subsection (7) where 
the person to whom the tangible personal property is 
sold is or may become liable to pay tax on the tangible 
personal property or taxable service. 

(9) A vendor shall not sell tangible personal prop- 
erty or a taxable ser\ice of a t>-pe referred to in clause 
(c) or (d) of paragraph 2 1 of section 1 of the .Act to a 
person exempt from tax if the blanket purchase 
exemption certificate supplied by the person is more 
than three years old. 

( 10) If a person does not supply a vendor of tangible 
personal property or a taxable ser^ice with a properly 
executed single or blanket purchase exemption certifi- 
cate, the sale shall be deemed to be a retail sale. 

(10a) A person who pro\ides a vendor with a valid 
blanket purchase exemption certificate that covers a 
class of tangible personal property or taxable ser\ice of 
a t>T)e referred to in clause (c) or (d) of paragraph 2 1 of 
section 1 of the Act that the person regularl>- acquires 
from the vendor and the person subsequently contracts 
by telephone for an additional amount of the same 
class of tangible person2d property or taxable ser\ices, 
the vendor may make the sale w ithout coUecting tax if 
the vendor inserts on the invoice prepared for the sale 
of the tangible personal property or taxable ser